MEDICARE: MRS. GALE M BARR NP-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
1	363L00000X	Nurse Practitioner	NP-05068	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000325968	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1912970153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GALE M BARR NP-C

Provider Business Mailing Address
First Line	:	2946 E BANNER GATEWAY DR
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85234-2165
Country	:	US
Telephone Number	:	440-256-6444
Fax Number	:	440-256-3682

Provider Business Practice Location Address
First Line	:	2946 E BANNER GATEWAY DR
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85234-2165
Country	:	US
Telephone Number	:	480-256-6444
Fax Number	:	480-256-3682

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

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	10/21/2015

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