Individual
MS. KATHERINE BARBERIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
11250 WARNER AVE # 39, FOUNTAIN VALLEY, CA 92708-4116
(651) 442-8132
Mailing address
4971 BONITA DR # 39, HUNTINGTON BEACH, CA 92649-3585
(651) 442-8132
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
95018032
CA
207RP1001X
Pulmonary Disease Physician
95018032
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95018032
NP LICENSE
CA
Enumeration date
08/09/2021
Last updated
08/09/2021
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