Provider Demographics
NPI:1487991907
Name:BARNHART, ALYSSA L (CRNA)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:L
Last Name:BARNHART
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:L
Other - Last Name:LAVIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:13130 N 73RD PLZ
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-1971
Mailing Address - Country:US
Mailing Address - Phone:402-552-3022
Mailing Address - Fax:402-552-3266
Practice Address - Street 1:16901 LAKESIDE HILLS CT
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2318
Practice Address - Country:US
Practice Address - Phone:402-552-3022
Practice Address - Fax:402-552-3266
Is Sole Proprietor?:No
Enumeration Date:2013-01-04
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE101214367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered