Provider Demographics
NPI:1952154429
Name:BARRON, ALICIA (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:BARRON
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 N EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-1355
Mailing Address - Country:US
Mailing Address - Phone:814-289-1027
Mailing Address - Fax:
Practice Address - Street 1:224 TWIN LAKE RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-7727
Practice Address - Country:US
Practice Address - Phone:814-443-3639
Practice Address - Fax:814-289-4481
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN639124163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse