Provider Demographics
NPI:1932961463
Name:BARNES, ALICIA ARLENE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MS
First Name:ALICIA
Middle Name:ARLENE
Last Name:BARNES
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 WATSON LN
Mailing Address - Street 2:
Mailing Address - City:GROTTOES
Mailing Address - State:VA
Mailing Address - Zip Code:24441-2432
Mailing Address - Country:US
Mailing Address - Phone:540-255-7696
Mailing Address - Fax:
Practice Address - Street 1:1201 WATSON LN
Practice Address - Street 2:
Practice Address - City:GROTTOES
Practice Address - State:VA
Practice Address - Zip Code:24441-2432
Practice Address - Country:US
Practice Address - Phone:540-255-7696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2024-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024189109363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily