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NPI Code Detail

MEDICARE: MRS. CAROLYN G BARNHART FNPC

MEDICARE: MRS. CAROLYN G BARNHART FNPC
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
1363L00000XNurse PractitionerNP9920CA
2363L00000XNurse PractitionerNP-1427ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ZZZ28485ZOTHERCABLUE SHIELD

General Provider Information

NPI Number : 1033190582
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROLYN G BARNHART FNPC
Provider Business Mailing Address
First Line : PO BOX 191050
Second Line :
City : BOISE
State : ID
Zip : 83719-1050
Country : US
Telephone Number : 208-955-6522
Fax Number : 208-955-6503
Provider Business Practice Location Address
First Line : 1375 N HAPPY VALLEY RD
Second Line :
City : NAMPA
State : ID
Zip : 83687-5280
Country : US
Telephone Number : 208-809-2869
Fax Number : 208-809-2868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 10/26/2018

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