Provider Demographics
NPI:1669524203
Name:BARLETT, PRISCILLA ARLENE (RN)
Entity type:Individual
Prefix:MRS
First Name:PRISCILLA
Middle Name:ARLENE
Last Name:BARLETT
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 1:9017 LIBRA DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-4707
Mailing Address - Country:US
Mailing Address - Phone:858-880-3685
Mailing Address - Fax:
Practice Address - Street 1:9017 LIBRA DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-4707
Practice Address - Country:US
Practice Address - Phone:858-880-3685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA465424163WG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0100XNursing Service ProvidersRegistered NurseGastroenterology