Healthcare Provider Details

I. General information

NPI: 1104087113
Provider Name (Legal Business Name): CINDY LYNETTE BARNHILL M.S. C.N.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2008
Last Update Date: 06/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6613 N MERIDIAN AVE
OKLAHOMA CITY OK
73116-1423
US

IV. Provider business mailing address

6613 N MERIDIAN AVE
OKLAHOMA CITY OK
73116-1423
US

V. Phone/Fax

Practice location:
  • Phone: 405-603-8450
  • Fax: 405-603-8455
Mailing address:
  • Phone: 405-603-8450
  • Fax: 405-603-8455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberR0074211
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: