MEDICARE: KAREN BARNETT CFNP

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
1	207Q00000X	Family Medicine Physician	R29109	NM

General Provider Information

NPI Number	:	1528074234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN BARNETT CFNP

Provider Business Mailing Address
First Line	:	1231 CANDELARIA RD NW
Second Line	:	MSC09 5040
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-2767
Country	:	US
Telephone Number	:	505-272-2158
Fax Number	:

Provider Business Practice Location Address
First Line	:	1231 CANDELARIA RD NW
Second Line	:	M-I/FAMILY HEALTH, NW VALLEY
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-2767
Country	:	US
Telephone Number	:	505-272-2158
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	07/08/2007

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