Basic Information
| Provider Information | |||||||||
| NPI: | 1952884199 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARNETT | ||||||||
| FirstName: | NATIVIDAD | ||||||||
| MiddleName: | SALILING | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4815 HIGHLAND FARM | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782441309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2102130458 | ||||||||
| FaxNumber: | 0000000000 | ||||||||
| Practice Location | |||||||||
| Address1: | 4815 HIGHLAND FARM | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782441309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2102130458 | ||||||||
| FaxNumber: | 0000000000 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2018 | ||||||||
| LastUpdateDate: | 09/13/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164X00000X | 186052 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Nursing Service Providers | Licensed Vocational Nurse |
No ID Information.