Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 617917 | TX |
NPI | 1033556436 |
---|---|
Provider Name | Kristi Lea Barnard |
First Address | Pearland, TX 77581-7556 |
Second Address | Pearland, TX 77581-7556 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2013 |
Last Update Date | 28/05/2013 |