Provider Demographics
NPI:1710133632
Name:BARNEY, ANGIE A (RPA)
Entity Type:Individual
Prefix:
First Name:ANGIE
Middle Name:A
Last Name:BARNEY
Suffix:
Gender:F
Credentials:RPA
Other - Prefix:
Other - First Name:ANGIE
Other - Middle Name:A
Other - Last Name:ACKERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPA
Mailing Address - Street 1:5334 S WOODROW ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-5838
Mailing Address - Country:US
Mailing Address - Phone:801-452-2913
Mailing Address - Fax:801-261-7770
Practice Address - Street 1:5444 GREEN ST
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84123-5632
Practice Address - Country:US
Practice Address - Phone:801-284-1732
Practice Address - Fax:801-262-3897
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT270326-5401247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist