Provider Demographics
NPI:1508511569
Name:BARNEY, ROSALYN (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ROSALYN
Middle Name:
Last Name:BARNEY
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13111 SAINT JAMES SANCTUARY DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-6370
Mailing Address - Country:US
Mailing Address - Phone:130-121-3130
Mailing Address - Fax:
Practice Address - Street 1:13111 SAINT JAMES SANCTUARY DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-6370
Practice Address - Country:US
Practice Address - Phone:301-213-1306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR142068363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health