Provider Demographics
NPI:1568487908
Name:BARBERE, STEVEN E (FNP)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:E
Last Name:BARBERE
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:895 AEROVISTA PL STE 103
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-8725
Mailing Address - Country:US
Mailing Address - Phone:805-541-3200
Mailing Address - Fax:805-541-3700
Practice Address - Street 1:895 AEROVISTA PL STE 103
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-8725
Practice Address - Country:US
Practice Address - Phone:805-541-3200
Practice Address - Fax:805-541-3700
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16638363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB220897OtherMEDICARE ID
CAQ71239Medicare UPIN