Barnes, Leta J

Barnes, Leta J is an individual health care provider with primary practice located at 3443 S National Ave , Springfield MO 65807-7308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Barnes, Leta J can be contacted via phone (417) 269-2000.

Contact Information

Primary practice address
3443 S National Ave Springfield MO 65807-7308
Phone: (417) 269-2000
Fax: (417) 269-2038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 099455 Missouri

Profile Details

NPI number 1356338933
LBN Legal business name Barnes, Leta J
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Jan 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356338933 NPPES
Missouri MEDICAID 423851211
Missouri Other P00361136
Missouri MEDICAID 1356338933

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