Provider Demographics
NPI:1861000341
Name:BARNWELL, VONETTA
Entity Type:Individual
Prefix:MS
First Name:VONETTA
Middle Name:
Last Name:BARNWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8019 TOMPKINS SQ
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-8535
Mailing Address - Country:US
Mailing Address - Phone:407-751-9511
Mailing Address - Fax:
Practice Address - Street 1:8019 TOMPKINS SQ
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-8535
Practice Address - Country:US
Practice Address - Phone:407-751-9511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy