Barnes, Coreena Eleanor

Barnes, Coreena Eleanor is an individual health care provider with primary practice located at 20 W Bank St , Petersburg VA 23803-3279. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Barnes, Coreena Eleanor can be contacted via phone (804) 862-8002.

Contact Information

Primary practice address
20 W Bank St Petersburg VA 23803-3279
Phone: (804) 862-8002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Nursing Service Providers / Licensed Practical Nurse 164W00000X 0002048850 Virginia

Profile Details

NPI number 1043720501
LBN Legal business name Barnes, Coreena Eleanor
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2017
Last updated May 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043720501 NPPES
Virginia MEDICAID 0181602696

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