Provider Demographics
NPI:1598049249
Name:BARBEIRO, ANN (FNP/PA)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:
Last Name:BARBEIRO
Suffix:
Gender:F
Credentials:FNP/PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 DEL MONTE WAY
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-4902
Mailing Address - Country:US
Mailing Address - Phone:530-305-5831
Mailing Address - Fax:
Practice Address - Street 1:8207 SIERRA COLLEGE BLVD STE 500
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-9407
Practice Address - Country:US
Practice Address - Phone:916-784-8660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA11246363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant