Provider Demographics
NPI:1104320324
Name:BARNEY, DANIEL JOSEPH (NP)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:JOSEPH
Last Name:BARNEY
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1495 PARKWAY DR
Mailing Address - Street 2:STE C
Mailing Address - City:BLACKFOOT
Mailing Address - State:ID
Mailing Address - Zip Code:83221-1639
Mailing Address - Country:US
Mailing Address - Phone:208-643-4231
Mailing Address - Fax:208-643-4235
Practice Address - Street 1:1495 PARKWAY DR
Practice Address - Street 2:STE C
Practice Address - City:BLACKFOOT
Practice Address - State:ID
Practice Address - Zip Code:83221-1639
Practice Address - Country:US
Practice Address - Phone:208-643-4231
Practice Address - Fax:208-643-4235
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ID58153363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily