Doctor Name: | DR. CANDICE LACEY BARNETT |
NPI Number: | 1720362569 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A118527 |
Business Practice Address: | 1959 Ne Pacific St Box 356560 Seattle, WA - 981956560 |
Business Phone Number: | 2065436721 |
Business Fax Number: | |
Mailing Address: | 1959 Ne Pacific St, Box 356560 SEATTLE |
State: | WA |
Postal Code: | 981950001 |
Phone Number: | 2065436721 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2011 |
NPI Last Update Date: | 09/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A118527 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |