Provider Demographics
NPI:1952680704
Name:BARNES, ELKE M (LM, CPM)
Entity type:Individual
Prefix:
First Name:ELKE
Middle Name:M
Last Name:BARNES
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2906 N 20TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-7004
Mailing Address - Country:US
Mailing Address - Phone:907-244-9295
Mailing Address - Fax:
Practice Address - Street 1:2906 N 20TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-7004
Practice Address - Country:US
Practice Address - Phone:907-244-9295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-11
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW61511148176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife