Provider Demographics
NPI:1700622990
Name:BARNICLE, JOSIE MARIE
Entity type:Individual
Prefix:MS
First Name:JOSIE
Middle Name:MARIE
Last Name:BARNICLE
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 1:119 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:HOMER CITY
Mailing Address - State:PA
Mailing Address - Zip Code:15748-6914
Mailing Address - Country:US
Mailing Address - Phone:724-599-5815
Mailing Address - Fax:
Practice Address - Street 1:167 ZEMAN DR
Practice Address - Street 2:
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-4103
Practice Address - Country:US
Practice Address - Phone:814-472-9119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN731291163W00000X
PASP031151363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse