Provider Demographics
NPI:1598242844
Name:WARREN-BARNETT, KATY D'LYNN (APRN)
Entity Type:Individual
Prefix:
First Name:KATY
Middle Name:D'LYNN
Last Name:WARREN-BARNETT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 DUNCAN REGIONAL LOOP
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-1564
Mailing Address - Country:US
Mailing Address - Phone:580-251-6655
Mailing Address - Fax:580-251-6668
Practice Address - Street 1:INTERSECTION OF HWY 70 & HWY 81
Practice Address - Street 2:
Practice Address - City:WAURIKA
Practice Address - State:OK
Practice Address - Zip Code:73573
Practice Address - Country:US
Practice Address - Phone:580-228-3669
Practice Address - Fax:580-444-2628
Is Sole Proprietor?:No
Enumeration Date:2018-07-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK128740363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily