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NPI Code Detail

MEDICARE: AMANDA JILL BARR RN

MEDICARE: AMANDA JILL BARR 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
1163W00000XRegistered NurseRN147100AZ
2163WM0102XMaternal Newborn Registered NurseRN147100AZ
3163WN0003XLow-Risk Neonatal Registered NurseRN147100AZ
4163WP1700XPerinatal Registered NurseRN147100AZ
5163WX0002XHigh-Risk Obstetric Registered NurseRN147100AZ
6163WX0003XInpatient Obstetric Registered NurseRN147100AZ

General Provider Information

NPI Number : 1952537425
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA JILL BARR RN
Provider Business Mailing Address
First Line : PO BOX 31001-0698
Second Line :
City : PASADENA
State : CA
Zip : 91110-0001
Country : US
Telephone Number : 602-263-1200
Fax Number : 602-263-1631
Provider Business Practice Location Address
First Line : 4212 N 16TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-5319
Country : US
Telephone Number : 602-263-1200
Fax Number : 602-263-1631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2009
Last Update Date : 10/07/2015

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