Provider Demographics
NPI:1689797383
Name:BARNARD, ANGELA C (RN, FNP-C, CRNFA)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:C
Last Name:BARNARD
Suffix:
Gender:F
Credentials:RN, FNP-C, CRNFA
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:C
Other - Last Name:BARNARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, FNP-C, CRNFA
Mailing Address - Street 1:798 MALLERY ST APT 2
Mailing Address - Street 2:
Mailing Address - City:SAINT SIMONS ISLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31522-4021
Mailing Address - Country:US
Mailing Address - Phone:404-408-8696
Mailing Address - Fax:
Practice Address - Street 1:798 MALLERY ST APT 2
Practice Address - Street 2:
Practice Address - City:SAINT SIMONS ISLAND
Practice Address - State:GA
Practice Address - Zip Code:31522
Practice Address - Country:US
Practice Address - Phone:404-408-8696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN096995163WR0006X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA208519325OtherTIN