Provider Demographics
NPI:1265840094
Name:BARNETT, DESIREE KAY (BSN RN ADMIN/DCS)
Entity Type:Individual
Prefix:MS
First Name:DESIREE
Middle Name:KAY
Last Name:BARNETT
Suffix:
Gender:F
Credentials:BSN RN ADMIN/DCS
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Mailing Address - Street 1:5660 TOWNSHIP ROAD 96
Mailing Address - Street 2:
Mailing Address - City:FREDERICKTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43019-8918
Mailing Address - Country:US
Mailing Address - Phone:614-313-5206
Mailing Address - Fax:
Practice Address - Street 1:1301 OLENTANGY RIVER RD
Practice Address - Street 2:SUITE 201
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-3191
Practice Address - Country:US
Practice Address - Phone:614-297-4757
Practice Address - Fax:614-297-4759
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHRN 300359163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator