Provider Demographics
NPI:1366318644
Name:BARNEY, ABBEY JO
Entity type:Individual
Prefix:
First Name:ABBEY
Middle Name:JO
Last Name:BARNEY
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 1:1020 LAND BANK ST
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83402-1809
Mailing Address - Country:US
Mailing Address - Phone:208-522-6155
Mailing Address - Fax:
Practice Address - Street 1:1020 LAND BANK ST
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83402-1809
Practice Address - Country:US
Practice Address - Phone:208-522-6155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist