Provider Demographics
NPI:1770835340
Name:BARNHART, ABBEY M (PA-C)
Entity Type:Individual
Prefix:
First Name:ABBEY
Middle Name:M
Last Name:BARNHART
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O.BOX 489
Mailing Address - Street 2:
Mailing Address - City:BROADUS
Mailing Address - State:MT
Mailing Address - Zip Code:59317-0489
Mailing Address - Country:US
Mailing Address - Phone:406-436-2651
Mailing Address - Fax:406-436-2652
Practice Address - Street 1:507 NORTH LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:BROADUS
Practice Address - State:MT
Practice Address - Zip Code:59317-0489
Practice Address - Country:US
Practice Address - Phone:406-436-2651
Practice Address - Fax:406-436-2652
Is Sole Proprietor?:No
Enumeration Date:2012-10-08
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMED-PAC-LIC-20114363A00000X
20114363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant