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NPI Code Detail

MEDICARE: TAKISHA LASHAWN BARONE FNP-C

MEDICARE: TAKISHA LASHAWN BARONE FNP-C
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 Practitioner0024186224VA

General Provider Information

NPI Number : 1437857547
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAKISHA LASHAWN BARONE FNP-C
Provider Business Mailing Address
First Line : 13800 HULL STREET RD
Second Line :
City : MIDLOTHIAN
State : VA
Zip : 23112-2002
Country : US
Telephone Number : 917-721-8903
Fax Number :
Provider Business Practice Location Address
First Line : 13800 HULL STREET RD
Second Line :
City : MIDLOTHIAN
State : VA
Zip : 23112-2002
Country : US
Telephone Number : 804-360-7598
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2023
Last Update Date : 01/14/2026

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