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NPI Code Detail

MEDICARE: MS. SUZANNE D BARRON NP

MEDICARE: MS. SUZANNE D BARRON NP
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 Practitioner0024094237VA
2363LP0200XPediatric Nurse Practitioner0024-094237VA

Other Identifiers

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

General Provider Information

NPI Number : 1194708784
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUZANNE D BARRON NP
Provider Business Mailing Address
First Line : 390 S MAIN ST
Second Line : SUITE 101
City : ROCKY MOUNT
State : VA
Zip : 24151-1766
Country : US
Telephone Number : 540-484-4836
Fax Number :
Provider Business Practice Location Address
First Line : 4348 ELECTRIC RD
Second Line :
City : ROANOKE
State : VA
Zip : 24018-0720
Country : US
Telephone Number : 407-690-9755
Fax Number : 540-772-8219
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2005
Last Update Date : 05/09/2025

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