MEDICARE: NANCY JEAN BARR RN, MSN, APRN

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	363LW0102X	Women's Health Nurse Practitioner	608279	TX

General Provider Information

NPI Number	:	1659591857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY JEAN BARR RN, MSN, APRN

Provider Business Mailing Address
First Line	:	6614 SANDIE DR
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79109-5045
Country	:	US
Telephone Number	:	806-359-9657
Fax Number	:

Provider Business Practice Location Address
First Line	:	PANTEX PLANT, FM 2373 AT HWY 60
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79120
Country	:	US
Telephone Number	:	806-477-5993
Fax Number	:	806-477-5188

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

Provider Enumeration Date	:	04/27/2007
Last Update Date	:	07/08/2007

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