Doctor Name: | RENEE BARNES |
NPI Number: | 1063877660 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN, FNP-BC |
License Number: | 26NJ00610400 |
Business Practice Address: | 4595 New Falls Rd Levittown, PA - 190563004 |
Business Phone Number: | 2675873700 |
Business Fax Number: | 2159492650 |
Mailing Address: | 4595 New Falls Rd, LEVITTOWN |
State: | PA |
Postal Code: | 190563004 |
Phone Number: | 2675873700 |
Fax Number: | 2159492650 |
NPI Enumeration Date: | 12/24/2015 |
NPI Last Update Date: | 04/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00610400 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |