Provider Demographics
NPI:1417995945
Name:BARKER, LEIGH ANN (NP)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANN
Last Name:BARKER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3907 WARING RD
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-4454
Mailing Address - Country:US
Mailing Address - Phone:760-732-0557
Mailing Address - Fax:760-732-0358
Practice Address - Street 1:320 SANTA FE DR
Practice Address - Street 2:SUITE 108
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5138
Practice Address - Country:US
Practice Address - Phone:760-942-1390
Practice Address - Fax:760-732-0358
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP15660363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA655795Medicaid
CA655795Medicaid