Provider Demographics
NPI:1639216278
Name:BARNS, TERRY (NP)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:
Last Name:BARNS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 WESTGATE
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86305-5073
Mailing Address - Country:US
Mailing Address - Phone:928-499-8829
Mailing Address - Fax:928-445-7095
Practice Address - Street 1:282 WESTGATE
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-5073
Practice Address - Country:US
Practice Address - Phone:928-499-8829
Practice Address - Fax:928-445-7095
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP2563363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ001424Medicaid