Provider Demographics
NPI:1801991591
Name:BARNWELL, VALERIE JEAN (MD)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:JEAN
Last Name:BARNWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1688 S HORNER BLVD
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-5634
Mailing Address - Country:US
Mailing Address - Phone:919-718-1679
Mailing Address - Fax:919-776-3746
Practice Address - Street 1:1688 S HORNER BLVD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-5634
Practice Address - Country:US
Practice Address - Phone:919-718-1679
Practice Address - Fax:919-776-3746
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC35262207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7913450Medicaid
NCE52553Medicare UPIN
NC7913450Medicaid