Provider Demographics
NPI:1467402487
Name:BARONE, MICHAEL BRENT (ARNPC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:BRENT
Last Name:BARONE
Suffix:
Gender:M
Credentials:ARNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 N WEST ST
Mailing Address - Street 2:
Mailing Address - City:ARMA
Mailing Address - State:KS
Mailing Address - Zip Code:66712-9556
Mailing Address - Country:US
Mailing Address - Phone:620-347-4282
Mailing Address - Fax:
Practice Address - Street 1:1401 MAIN ST
Practice Address - Street 2:
Practice Address - City:PARSONS
Practice Address - State:KS
Practice Address - Zip Code:67357-3330
Practice Address - Country:US
Practice Address - Phone:620-423-3858
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44799363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health