Individual
CASEY NICHOLE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8604 KLAMATH RD, QUINTON, VA 23141-2458
(757) 897-2228
Mailing address
4459 TARHEEL DR, PINK HILL, NC 28572-9649
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002091903
VA
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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