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Individual

ALISSA NICOLE BARNES

Active
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Individual

ALISSA NICOLE BARNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
2006-2146
WV
363LA2200X
Adult Health Nurse Practitioner
Primary
79031
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
79031
STATE LICENSE
WV
Enumeration date
05/22/2007
Last updated
02/13/2018
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