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Individual

MRS. THERESA LYNN BARNARD

Active
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Individual

MRS. THERESA LYNN BARNARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
223141
NC
163W00000X
Registered Nurse
4704232418
MI
363LF0000X
Family Nurse Practitioner
Primary
5004124
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133878
NAS MEDICARE PART B
OR
01
—
133879
NAS MEDICARE PART B
OR
01
—
133880
NAS MEDICARE PART B
OR
01
—
8858358
NAS MEDICARE PART B
WA
Enumeration date
07/27/2006
Last updated
05/11/2010
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