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NPI Code Detail

MEDICARE: SOPHIA L BARNES CRNP

MEDICARE: SOPHIA L BARNES CRNP
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 Practitioner1-127529AL

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 : 1316369275
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA L BARNES CRNP
Provider Business Mailing Address
First Line : PO BOX 1684
Second Line :
City : DECATUR
State : AL
Zip : 35602-1684
Country : US
Telephone Number : 256-341-0152
Fax Number : 256-341-0587
Provider Business Practice Location Address
First Line : 1222 SOMERVILLE RD SE
Second Line :
City : DECATUR
State : AL
Zip : 35601-4351
Country : US
Telephone Number : 256-341-0152
Fax Number : 256-341-0587
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2014
Last Update Date : 06/29/2015

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