Provider Demographics
NPI:1386285849
Name:BARTON, MIRANDA J
Entity type:Individual
Prefix:
First Name:MIRANDA
Middle Name:J
Last Name:BARTON
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 1:1398 LEOPARD ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-6794
Mailing Address - Country:US
Mailing Address - Phone:775-530-3046
Mailing Address - Fax:
Practice Address - Street 1:1398 LEOPARD ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89506-6794
Practice Address - Country:US
Practice Address - Phone:775-530-3046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-04
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide