Provider Demographics
NPI:1225819121
Name:BARTON, VANESSA PASSANANTE (RN, CRNA)
Entity Type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:PASSANANTE
Last Name:BARTON
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Gender:F
Credentials:RN, CRNA
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Mailing Address - Street 1:2221 LAKESIDE BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-4416
Mailing Address - Country:US
Mailing Address - Phone:469-505-1652
Mailing Address - Fax:469-436-3976
Practice Address - Street 1:170 N 1100 E
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2961
Practice Address - Country:US
Practice Address - Phone:801-855-3267
Practice Address - Fax:801-855-3251
Is Sole Proprietor?:No
Enumeration Date:2023-10-09
Last Update Date:2024-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT8272156-8901367500000X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered