Provider Demographics
NPI:1821696816
Name:BARR, NANCY FERRER (FNP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:FERRER
Last Name:BARR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:SIERRA
Other - Last Name:FERRER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2865 DAGGETT AVE
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-1106
Mailing Address - Country:US
Mailing Address - Phone:541-882-6311
Mailing Address - Fax:
Practice Address - Street 1:2617 ALMOND ST
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-1116
Practice Address - Country:US
Practice Address - Phone:541-274-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-13
Last Update Date:2023-10-23
Deactivation Date:2023-10-17
Deactivation Code:
Reactivation Date:2023-10-23
Provider Licenses
StateLicense IDTaxonomies
390200000X
OR10016682363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program