Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | AP60769404 | WA |
NPI | 1053835637 |
---|---|
Provider Name | Lindsey Marie Barnett |
First Address | Camas, WA 98607-9316 |
Second Address | Santa Ana, CA 92705-5694 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2017 |
Last Update Date | 21/05/2021 |