Provider Demographics
NPI:1033364278
Name:BARNETT, REBECCA HELENA (PA-C)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:HELENA
Last Name:BARNETT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:HELENA
Other - Last Name:OLIVAREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 SIERRA ROSE DR STE 202
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-4048
Mailing Address - Country:US
Mailing Address - Phone:775-828-4949
Mailing Address - Fax:775-828-4949
Practice Address - Street 1:601 SIERRA ROSE DR STE 202
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-4048
Practice Address - Country:US
Practice Address - Phone:775-828-4949
Practice Address - Fax:855-728-0837
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPA766363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
BE208ZMedicare PIN