Individual
BARBARA JO JUAREZ
Active
Individual
BARBARA JO JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
16686
WY
363LA2200X
Adult Health Nurse Practitioner
Primary
48246
WY
363LG0600X
Gerontology Nurse Practitioner
48246
WY
Other
Enumeration date
07/07/2020
Last updated
08/29/2024
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