Basic Information
| Provider Information | |||||||||
| NPI: | 1790778082 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARNES | ||||||||
| FirstName: | ANN | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8671 S QUEBEC ST | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | LITTLETON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801305859 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033468828 | ||||||||
| FaxNumber: | 3033460407 | ||||||||
| Practice Location | |||||||||
| Address1: | 8671 S QUEBEC ST | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | LITTLETON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801305859 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033468828 | ||||||||
| FaxNumber: | 3033460407 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/23/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 32543 | MN | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 01325430 | 05 | CO | MEDICAID |