Provider Demographics
NPI:1528297439
Name:BARNES, REBECCA JANE (PA-C)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:JANE
Last Name:BARNES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3301 W 144TH AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80023-5971
Mailing Address - Country:US
Mailing Address - Phone:303-438-5522
Mailing Address - Fax:303-438-5686
Practice Address - Street 1:805 S BROADWAY ST
Practice Address - Street 2:STE 103
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305-5971
Practice Address - Country:US
Practice Address - Phone:303-449-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2015-02-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO2813363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical