Provider Demographics
NPI:1538768254
Name:BARNES, SHIRLENA ANN
Entity type:Individual
Prefix:
First Name:SHIRLENA
Middle Name:ANN
Last Name:BARNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 MICHIGAN AVE NE # 23
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-1018
Mailing Address - Country:US
Mailing Address - Phone:202-292-8323
Mailing Address - Fax:
Practice Address - Street 1:130 MICHIGAN AVE NE # 23
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-1018
Practice Address - Country:US
Practice Address - Phone:202-292-8323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0OtherCARE GIVER