Provider Demographics
NPI:1841553773
Name:BARRON, MARTHA JANE (RNC)
Entity type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:JANE
Last Name:BARRON
Suffix:
Gender:F
Credentials:RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 MARION HWY
Mailing Address - Street 2:
Mailing Address - City:FARMERVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71241-9315
Mailing Address - Country:US
Mailing Address - Phone:318-368-3156
Mailing Address - Fax:318-368-3831
Practice Address - Street 1:1002 MARION HWY
Practice Address - Street 2:
Practice Address - City:FARMERVILLE
Practice Address - State:LA
Practice Address - Zip Code:71241-9315
Practice Address - Country:US
Practice Address - Phone:318-368-3156
Practice Address - Fax:318-368-3831
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN081761163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health