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NPI Code Detail

MEDICARE: ELIZABETH ANNE BARNES

MEDICARE:   ELIZABETH ANNE BARNES
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
1363LF0000XFamily Nurse Practitioner32098TN
2363LF0000XFamily Nurse Practitioner221064AR
3363LF0000XFamily Nurse PractitionerAPRN11030143FL

Other Identifiers

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

General Provider Information

NPI Number : 1174256770
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANNE BARNES
Provider Business Mailing Address
First Line : 47 5TH ST NW
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-4672
Country : US
Telephone Number : 866-234-8534
Fax Number :
Provider Business Practice Location Address
First Line : 1514 1ST ST N
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-2476
Country : US
Telephone Number : 866-234-8534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2022
Last Update Date : 12/08/2025

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Directions to “ ELIZABETH ANNE BARNES ” Practice Location

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