Provider Demographics
NPI:1861709081
Name:BARNES, RAENA K (MS, WHNP)
Entity type:Individual
Prefix:
First Name:RAENA
Middle Name:K
Last Name:BARNES
Suffix:
Gender:F
Credentials:MS, WHNP
Other - Prefix:
Other - First Name:RAENA
Other - Middle Name:
Other - Last Name:KEICHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1541 SE 17TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4607
Mailing Address - Country:US
Mailing Address - Phone:352-732-5590
Mailing Address - Fax:352-732-0292
Practice Address - Street 1:10840 LITTLE PATUXENT PKWY STE 105
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3254
Practice Address - Country:US
Practice Address - Phone:352-732-5590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR102722363LX0001X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology