Provider Demographics
NPI:1598953572
Name:BARNHILL, MARILYN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MARILYN
Middle Name:
Last Name:BARNHILL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:MARILYN
Other - Middle Name:
Other - Last Name:HICKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:904 AVENUE O
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79401-3924
Mailing Address - Country:US
Mailing Address - Phone:806-766-0310
Mailing Address - Fax:
Practice Address - Street 1:1950 ASPEN AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79404-1211
Practice Address - Country:US
Practice Address - Phone:806-766-0310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX578556363L00000X, 363LF0000X
TXAP116207363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F7345Medicare PIN
TX8F7343Medicare PIN