Basic Information
Provider Information
NPI: 1427505882
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARNES
FirstName: SHERI
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11245 HURON ST
Address2:  
City: WESTMINSTER
State: CO
PostalCode: 802342806
CountryCode: US
TelephoneNumber: 3033384545
FaxNumber:  
Practice Location
Address1: 11245 HURON ST
Address2:  
City: WESTMINSTER
State: CO
PostalCode: 802342806
CountryCode: US
TelephoneNumber: 3033384545
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/02/2016
LastUpdateDate: 09/02/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WP2201X0111482COY Nursing Service ProvidersRegistered NurseAmbulatory Care

No ID Information.


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