Provider Demographics
NPI:1780683607
Name:BARNOSKI, KIMBERLY LINGREN (CRNP)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:LINGREN
Last Name:BARNOSKI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:ANN
Other - Last Name:LINGREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-BC
Mailing Address - Street 1:1906 MARGARET ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15209-1467
Mailing Address - Country:US
Mailing Address - Phone:412-761-1190
Mailing Address - Fax:412-761-0525
Practice Address - Street 1:11279 PERRY HWY STE 450
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9394
Practice Address - Country:US
Practice Address - Phone:412-761-1190
Practice Address - Fax:412-761-0525
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP001937D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA028543NJBMedicare PIN
PAS83727Medicare UPIN