Provider Demographics
NPI:1396572525
Name:BARNES, SUMMER TRINITY (DNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:SUMMER
Middle Name:TRINITY
Last Name:BARNES
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 STATE ST APT 310
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-2982
Mailing Address - Country:US
Mailing Address - Phone:619-384-5557
Mailing Address - Fax:
Practice Address - Street 1:1810 STATE ST APT 310
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-2982
Practice Address - Country:US
Practice Address - Phone:619-384-5557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95031831363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily