Provider Demographics
NPI:1124749676
Name:BARNES, ZANEASHIA NOELLE (PUBLIC HEALTH)
Entity type:Individual
Prefix:
First Name:ZANEASHIA
Middle Name:NOELLE
Last Name:BARNES
Suffix:
Gender:F
Credentials:PUBLIC HEALTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2614 S TOPEKA ST APT 204
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67216-1066
Mailing Address - Country:US
Mailing Address - Phone:405-400-5503
Mailing Address - Fax:
Practice Address - Street 1:2614 S TOPEKA ST APT 204
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67216-1066
Practice Address - Country:US
Practice Address - Phone:405-400-5503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1097127172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker