Healthcare Provider Details

I. General information

NPI: 1982980736
Provider Name (Legal Business Name): NATALIE ANN BARNETT B.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2011
Last Update Date: 10/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7421 E JACKSON ST
BROKEN ARROW OK
74014-7310
US

IV. Provider business mailing address

7421 E JACKSON ST
BROKEN ARROW OK
74014-7310
US

V. Phone/Fax

Practice location:
  • Phone: 918-510-1170
  • Fax: 918-224-9309
Mailing address:
  • Phone: 918-510-1170
  • Fax: 918-224-9309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: