Provider Demographics
NPI:1922683853
Name:BARRERA, IONE (PBT, CMA, LVN)
Entity Type:Individual
Prefix:
First Name:IONE
Middle Name:
Last Name:BARRERA
Suffix:
Gender:F
Credentials:PBT, CMA, LVN
Other - Prefix:
Other - First Name:IONE
Other - Middle Name:
Other - Last Name:FLOWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4603 HEATHERS STAR
Mailing Address - Street 2:
Mailing Address - City:SAINT HEDWIG
Mailing Address - State:TX
Mailing Address - Zip Code:78152-4407
Mailing Address - Country:US
Mailing Address - Phone:210-232-4673
Mailing Address - Fax:
Practice Address - Street 1:4603 HEATHERS STAR
Practice Address - Street 2:
Practice Address - City:SAINT HEDWIG
Practice Address - State:TX
Practice Address - Zip Code:78152-4407
Practice Address - Country:US
Practice Address - Phone:210-232-4673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-11
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX563506146N00000X
AK54902246RP1900X
FLPN5247889164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy