Provider Demographics
NPI:1881885499
Name:GARNER, BARBARA A (NP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:GARNER
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:860 OMNI BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4430
Mailing Address - Country:US
Mailing Address - Phone:757-232-8769
Mailing Address - Fax:757-232-8875
Practice Address - Street 1:10976 BUCKLEY HALL ROAD
Practice Address - Street 2:
Practice Address - City:MATHEWS
Practice Address - State:VA
Practice Address - Zip Code:23109-0747
Practice Address - Country:US
Practice Address - Phone:804-725-5005
Practice Address - Fax:804-725-3204
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2013-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024167483363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1881885499Medicaid
VAP00471372Medicare PIN
VA1881885499Medicaid