Individual
JONATHAN WAYNE BARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2430 W PIERCE ST, CARLSBAD, NM 88220-3553
(575) 887-4100
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0001224032
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA-01362
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45755264
—
NM
Enumeration date
03/07/2013
Last updated
10/08/2015
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