Provider Demographics
NPI:1760952410
Name:BARNES, ANGELA S (CRNP- NP-C)
Entity Type:Individual
Prefix:MISS
First Name:ANGELA
Middle Name:S
Last Name:BARNES
Suffix:
Gender:F
Credentials:CRNP- NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 REGENCY PL # 202A-B
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-3088
Mailing Address - Country:US
Mailing Address - Phone:301-645-1523
Mailing Address - Fax:
Practice Address - Street 1:5010 REGENCY PL STE 202A
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3088
Practice Address - Country:US
Practice Address - Phone:301-645-1523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-26
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR222896363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily