Provider Demographics
NPI:1366187247
Name:BARNARD, ANNETTE LYNN (RN,PHN,MSN)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:LYNN
Last Name:BARNARD
Suffix:
Gender:F
Credentials:RN,PHN,MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8849 WESTON RD
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-2069
Mailing Address - Country:US
Mailing Address - Phone:858-231-9571
Mailing Address - Fax:
Practice Address - Street 1:8849 WESTON RD
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-2069
Practice Address - Country:US
Practice Address - Phone:858-231-9571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA438464163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health