Provider Demographics
NPI:1265654206
Name:BARNES, CHRISTINA LOUISE (NP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:LOUISE
Last Name:BARNES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:123 E BASELINE RD STE D205
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-1298
Mailing Address - Country:US
Mailing Address - Phone:480-531-5973
Mailing Address - Fax:480-542-8173
Practice Address - Street 1:123 E BASELINE RD STE D205
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1298
Practice Address - Country:US
Practice Address - Phone:480-531-5973
Practice Address - Fax:480-542-8173
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2020-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN-087557363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health