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Individual

LISA A BARKDULL

Active
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Individual

LISA A BARKDULL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
F.N.P.

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0389765-22
WV
363LF0000X
Family Nurse Practitioner
0024166259
VA
363LF0000X
Family Nurse Practitioner
Primary
8721544-4405
UT

Other

Enumeration date
05/31/2005
Last updated
06/01/2021
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