=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891081428
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TERRI L. BARNHART FNP-BC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/22/2011
-----------------------------------------------------
Last Update Date | 11/03/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3732 FAIRDALE RD
-----------------------------------------------------
City | HEMPHILL
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75948
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 409-579-2044
-----------------------------------------------------
Fax | 409-579-2104
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3732 FAIRDALE RD
-----------------------------------------------------
City | HEMPHILL
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75948-6778
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 409-579-2044
-----------------------------------------------------
Fax | 409-579-2104
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | AP120572
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 640745
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------