Provider Demographics
NPI:1245327667
Name:BAYER, BARBARA RESIDENTIAL (ANP-C)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:RESIDENTIAL
Last Name:BAYER
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:JO
Other - Last Name:PERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:719 MCKENZIE RD
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79118-3712
Mailing Address - Country:US
Mailing Address - Phone:806-622-1256
Mailing Address - Fax:
Practice Address - Street 1:719 MCKENZIE RD
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79118-3712
Practice Address - Country:US
Practice Address - Phone:806-622-1256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX239771363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health