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NPI Code Detail

MEDICARE: PENNY V. BARBER ARNP

MEDICARE: PENNY V. BARBER ARNP
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 PractitionerR0047289OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2R0047289OTHEROKADVANCED NURSING LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235113341
Entity Type Code : Individual
Provider Name (Legal Business Name) : PENNY V. BARBER ARNP
Provider Business Mailing Address
First Line : 1025 STRAKA TER
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-2544
Country : US
Telephone Number : 405-632-6688
Fax Number : 405-604-0708
Provider Business Practice Location Address
First Line : 1025 STRAKA TER
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-2544
Country : US
Telephone Number : 405-632-6688
Fax Number : 405-604-0708
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 03/23/2011

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