Provider Demographics
NPI:1093037459
Name:BARNES, RUTH ANN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:ANN
Last Name:BARNES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 N ORANGE ST
Mailing Address - Street 2:PO BOX 208
Mailing Address - City:BUTLER
Mailing Address - State:MO
Mailing Address - Zip Code:64730-1325
Mailing Address - Country:US
Mailing Address - Phone:660-679-6108
Mailing Address - Fax:660-679-6022
Practice Address - Street 1:501 N ORANGE ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:MO
Practice Address - Zip Code:64730-1325
Practice Address - Country:US
Practice Address - Phone:660-679-6108
Practice Address - Fax:660-679-6022
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000170573164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse