Provider Demographics
NPI:1003000977
Name:DANNER, BARBARA
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:DANNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 AVE I
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:TX
Mailing Address - Zip Code:79225
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:423 AVE I
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:TX
Practice Address - Zip Code:79225
Practice Address - Country:US
Practice Address - Phone:940-852-5468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103256164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse