Individual
ELIZABETH M BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5 INDUSTRIAL DR, SUITE 202, MASHPEE, MA 02649-3464
(508) 539-2444
(508) 539-2445
Mailing address
5 INDUSTRIAL DR, SUITE 202, MASHPEE, MA 02649-3464
(508) 539-2444
(508) 539-2445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA5894
MA MEDICAL LICENSE
MA
Enumeration date
07/01/2016
Last updated
11/13/2023
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