MEDICARE: ALICIA BARNETT NURSE ADMINISTRATOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WA2000X	Administrator Registered Nurse	1127796	TX

General Provider Information

NPI Number	:	1013571298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA BARNETT NURSE ADMINISTRATOR

Provider Business Mailing Address
First Line	:	4212 SAN FELIPE ST # 129
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-2902
Country	:	US
Telephone Number	:	502-526-8423
Fax Number	:

Provider Business Practice Location Address
First Line	:	4212 SAN FELIPE ST # 129
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-2902
Country	:	US
Telephone Number	:	502-526-8423
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2019
Last Update Date	:	02/08/2024

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