Provider Demographics
NPI:1720467491
Name:BARNEY, ADELINE MARCELO (NP)
Entity Type:Individual
Prefix:
First Name:ADELINE
Middle Name:MARCELO
Last Name:BARNEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26732 CROWN VALLEY PKWY STE 170
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6337
Mailing Address - Country:US
Mailing Address - Phone:949-364-7246
Mailing Address - Fax:
Practice Address - Street 1:26732 CROWN VALLEY PKWY STE 170
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6337
Practice Address - Country:US
Practice Address - Phone:949-364-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-27
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA770394163W00000X
CA95003040363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse