Provider Demographics
NPI:1346951381
Name:BARNHART, KRYSTAL EVA MARRIE (CD(DONA), LCCE)
Entity Type:Individual
Prefix:MS
First Name:KRYSTAL
Middle Name:EVA MARRIE
Last Name:BARNHART
Suffix:
Gender:F
Credentials:CD(DONA), LCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 BELMONT ST
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-3232
Mailing Address - Country:US
Mailing Address - Phone:989-820-2817
Mailing Address - Fax:
Practice Address - Street 1:4900 BELMONT ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-3232
Practice Address - Country:US
Practice Address - Phone:989-820-2817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-12
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1346951381374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty