MEDICARE: CHERYL D. BARNHART RN

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	163WC0400X	Case Management Registered Nurse	RN-1632922	FL

General Provider Information

NPI Number	:	1912958190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL D. BARNHART RN

Provider Business Mailing Address
First Line	:	315 PRUDENCE LN
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32408-5540
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	748 HARRISON AVE
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32401-2524
Country	:	US
Telephone Number	:	850-872-4840
Fax Number	:	850-872-4844

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

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	07/09/2007

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