Provider Demographics
NPI:1770971251
Name:BARNHART, MINDY (CRNP)
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:
Last Name:BARNHART
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 EASTERN AVE
Mailing Address - Street 2:STE 135
Mailing Address - City:GREENCASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:17225-1195
Mailing Address - Country:US
Mailing Address - Phone:717-597-3151
Mailing Address - Fax:717-597-8933
Practice Address - Street 1:50 EASTERN AVE STE 135
Practice Address - Street 2:
Practice Address - City:GREENCASTLE
Practice Address - State:PA
Practice Address - Zip Code:17225-1195
Practice Address - Country:US
Practice Address - Phone:717-597-3151
Practice Address - Fax:717-597-8933
Is Sole Proprietor?:No
Enumeration Date:2015-01-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP016158363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily