Provider Demographics
NPI:1124215082
Name:SKARET, BARBARA J (NP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:SKARET
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 W VISTA CHINO
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-2924
Mailing Address - Country:US
Mailing Address - Phone:760-323-3789
Mailing Address - Fax:760-322-2865
Practice Address - Street 1:1180 N INDIAN CANYON DR
Practice Address - Street 2:SUITE 205 E
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4800
Practice Address - Country:US
Practice Address - Phone:760-325-1202
Practice Address - Fax:760-864-7105
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA452088163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ01161ZMedicare PIN
CAZZZ01162ZMedicare PIN