Healthcare Provider Details

I. General information

NPI: 1073636437
Provider Name (Legal Business Name): CATHY BARKER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 S CHESTNUT ST
ELLENSBURG WA
98926-3875
US

IV. Provider business mailing address

603 S CHESTNUT ST
ELLENSBURG WA
98926-3875
US

V. Phone/Fax

Practice location:
  • Phone: 509-933-8619
  • Fax: 509-962-7351
Mailing address:
  • Phone: 509-933-8619
  • Fax: 509-962-7351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License NumberRN00094886
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: