Provider Demographics
NPI:1962157537
Name:BARNES, ELIZABETH RITA (NP)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:RITA
Last Name:BARNES
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:RITA
Other - Last Name:DOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:167 SUMMER ST STE 203
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:NH
Mailing Address - Zip Code:03773-1281
Mailing Address - Country:US
Mailing Address - Phone:781-249-3154
Mailing Address - Fax:603-209-5215
Practice Address - Street 1:290 HANOVER ST
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-5034
Practice Address - Country:US
Practice Address - Phone:603-542-2606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-12
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA236859363LF0000X
NH073460-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily