Provider Demographics
NPI:1184661910
Name:BOND, BARBARA (FNP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:BOND
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2119 S AINSWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-3110
Mailing Address - Country:US
Mailing Address - Phone:253-576-3352
Mailing Address - Fax:
Practice Address - Street 1:33507 9TH AVE S STE A
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6397
Practice Address - Country:US
Practice Address - Phone:253-874-5404
Practice Address - Fax:253-874-8964
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006915207P00000X
GARN245379363LF0000X
WAML61438084207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA3099BOOtherREGENCE BLUESHIELD
WA94964303Medicaid
WA3099BOOtherREGENCE BLUESHIELD