Provider Demographics
NPI:1063663235
Name:BARBOUR, AMANDA ANN (CNIM)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:ANN
Last Name:BARBOUR
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1164 E PHILLIPS PL
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2966
Mailing Address - Country:US
Mailing Address - Phone:303-915-1263
Mailing Address - Fax:
Practice Address - Street 1:1164 E PHILLIPS PL
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2966
Practice Address - Country:US
Practice Address - Phone:303-915-1263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
No2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEG