Individual
LISA C BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
446 PATAHA ST., POMEROY MEDICAL CLINIC, POMEROY, WA 99347
(509) 843-1491
(509) 843-1740
Mailing address
GARFIELD COUNTY PUBLIC HOSPITAL DISTRICT #1, 66 N. SIXTH ST., POMEROY, WA 99347-9705
(509) 843-1591
(509) 843-1234
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30007819
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
807849100
STATE OF IDAHO MEDICAID
ID
01
—
8945416
L&I
WA
Enumeration date
09/17/2007
Last updated
03/11/2010
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