Provider Demographics
NPI:1427596162
Name:BARRON, MICHELLE (CRNP)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:
Last Name:BARRON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 CAMPUS DRIVE
Mailing Address - Street 2:MCLACHLAN STUDENT HEALTH CENTER
Mailing Address - City:SLIPPERY ROCK
Mailing Address - State:PA
Mailing Address - Zip Code:16057
Mailing Address - Country:US
Mailing Address - Phone:724-738-2052
Mailing Address - Fax:
Practice Address - Street 1:204 CAMPUS DRIVE
Practice Address - Street 2:MCLACHLAN STUDENT HEALTH CENTER
Practice Address - City:SLIPPERY ROCK
Practice Address - State:PA
Practice Address - Zip Code:16057
Practice Address - Country:US
Practice Address - Phone:724-738-2052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-02
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN567480163W00000X
PASP016951363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse