Individual
LETA J BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3925 W RANDALL ST, BATTLEFIELD, MO 65619-8303
(417) 830-7728
Mailing address
3925 W RANDALL ST, BATTLEFIELD, MO 65619-8303
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
099455
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356338933
—
MO
05
—
423851211
—
MO
01
—
P00361136
RR MEDICARE
—
Enumeration date
09/29/2005
Last updated
03/21/2025
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