Provider Demographics
NPI:1558539734
Name:DENISON, BARNABY DAVID
Entity Type:Individual
Prefix:
First Name:BARNABY
Middle Name:DAVID
Last Name:DENISON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:TENZIN
Other - Middle Name:
Other - Last Name:DENISON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:51 BOBCAT TRL
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:WA
Mailing Address - Zip Code:98849-9699
Mailing Address - Country:US
Mailing Address - Phone:509-846-3384
Mailing Address - Fax:
Practice Address - Street 1:51 BOBCAT TRL
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:WA
Practice Address - Zip Code:98849-9699
Practice Address - Country:US
Practice Address - Phone:509-846-3384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion