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Individual

LINDSEY BARROSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N-42847
ID
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
N-42847
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010027633
BLUESHIELD
ID
01
HW298
BLUE CROSS OF IDAHO
ID
Enumeration date
12/07/2011
Last updated
01/05/2012
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