Provider Demographics
NPI:1104377100
Name:BARNES, LYNNE H (RN)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:H
Last Name:BARNES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:LYNNE
Other - Middle Name:H
Other - Last Name:PIERCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:12806 SE MCGILLIVRAY BLVD
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-6356
Mailing Address - Country:US
Mailing Address - Phone:369-936-3907
Mailing Address - Fax:
Practice Address - Street 1:883A S MARKET BLVD
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-3421
Practice Address - Country:US
Practice Address - Phone:877-688-1136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-14
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR000034321RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse