Healthcare Provider Details

I. General information

NPI: 1255509683
Provider Name (Legal Business Name): DIANA BARBER RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2008
Last Update Date: 02/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 S STILLAGUAMISH AVE
ARLINGTON WA
98223-1642
US

IV. Provider business mailing address

330 S STILLAGUAMISH AVE
ARLINGTON WA
98223-1642
US

V. Phone/Fax

Practice location:
  • Phone: 360-424-8418
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN00049083
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: