Provider Demographics
NPI:1619518313
Name:GUNSBY-BARNES, CATRENA LATONYA
Entity Type:Individual
Prefix:
First Name:CATRENA
Middle Name:LATONYA
Last Name:GUNSBY-BARNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 KNOWLES RD
Mailing Address - Street 2:
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36869-7139
Mailing Address - Country:US
Mailing Address - Phone:706-315-6149
Mailing Address - Fax:
Practice Address - Street 1:1904 KNOWLES RD
Practice Address - Street 2:
Practice Address - City:PHENIX CITY
Practice Address - State:AL
Practice Address - Zip Code:36869-7139
Practice Address - Country:US
Practice Address - Phone:706-315-6149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider