Provider Demographics
NPI:1982980736
Name:BARNETT, NATALIE ANN (BS)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:ANN
Last Name:BARNETT
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7421 E JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74014-7310
Mailing Address - Country:US
Mailing Address - Phone:918-510-1170
Mailing Address - Fax:918-224-9309
Practice Address - Street 1:7421 E JACKSON ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74014-7310
Practice Address - Country:US
Practice Address - Phone:918-510-1170
Practice Address - Fax:918-224-9309
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker