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Individual

MRS. CAROLYN G BARNHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNPC

Contact information

Practice address
1375 N HAPPY VALLEY RD, NAMPA, ID 83687-5280
(208) 809-2869
(208) 809-2868
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6522
(208) 955-6503

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-1427
ID
363L00000X
Nurse Practitioner
NP9920
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0067130
CA
01
ZZZ28485Z
BLUE SHIELD
CA
Enumeration date
11/10/2005
Last updated
10/26/2018
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