Healthcare Provider Details

I. General information

NPI: 1528258415
Provider Name (Legal Business Name): COLLEEN SUE BARSNESS R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: COLLEEN SUE BARSNESS R.N.

II. Dates (important events)

Enumeration Date: 07/27/2007
Last Update Date: 07/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 ABBOTS LN
DENTON TX
76205-8915
US

IV. Provider business mailing address

821 ABBOTS LN
DENTON TX
76205-8915
US

V. Phone/Fax

Practice location:
  • Phone: 940-483-1167
  • Fax:
Mailing address:
  • Phone: 940-483-1167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number580053
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: