Provider Demographics
NPI:1821256272
Name:BARNETT, DEBRA JOANN (RN)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:JOANN
Last Name:BARNETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 S LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82604-3326
Mailing Address - Country:US
Mailing Address - Phone:307-277-1125
Mailing Address - Fax:
Practice Address - Street 1:1414 S LOCUST ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82604-3326
Practice Address - Country:US
Practice Address - Phone:307-277-1125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-31
Last Update Date:2008-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY21497163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse