Healthcare Provider Details

I. General information

NPI: 1487075727
Provider Name (Legal Business Name): CLAUDIA BARNES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2014
Last Update Date: 01/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

247 HARRISON AVENUE MORGAN CO BOE
BERKELEY SPRINGS WI
25411-1909
US

IV. Provider business mailing address

247 HARRISON AVENUE MORGAN CO BOE
BERKELEY SPRINGS WI
25411-1909
US

V. Phone/Fax

Practice location:
  • Phone: 304-267-3595
  • Fax: 304-267-3599
Mailing address:
  • Phone: 304-267-3595
  • Fax: 304-267-3599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number38898
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: