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Individual

MR. GREGORY BARRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP-C, MSN, RN

Contact information

Practice address
39 W PINE AVE STE B20, MERIDIAN, ID 83642-2412
(208) 286-8670
(866) 807-6068
Mailing address
3080 E GENTRY WAY, SUITE 100, MERIDIAN, ID 83642-3544
(208) 286-8670
(888) 990-2969

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1247A
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F1212171
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION NUMBER
ID
01
N-26878
REGISTERED NURSE LICENSE NUMBER
ID
01
NP-1247A
ADVANCED PRACTICE LICENSE NUMBER
ID
Enumeration date
01/30/2013
Last updated
05/22/2020
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