Provider Demographics
NPI:1235955451
Name:BARNES, STEPHANIE DELORES
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:DELORES
Last Name:BARNES
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 1:3646 BAILEY AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-3925
Mailing Address - Country:US
Mailing Address - Phone:440-752-2629
Mailing Address - Fax:
Practice Address - Street 1:3646 BAILEY AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-3925
Practice Address - Country:US
Practice Address - Phone:440-752-2629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care