Basic Information
| Provider Information | |||||||||
| NPI: | 1154739662 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BUDINSKY | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | ANN | ||||||||
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| Credential: | CRNFA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 938 | ||||||||
| Address2: | |||||||||
| City: | ROWLETT | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750300938 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2142272457 | ||||||||
| FaxNumber: | 2146994418 | ||||||||
| Practice Location | |||||||||
| Address1: | 14561 CAVALLI RD SE | ||||||||
| Address2: | |||||||||
| City: | OLALLA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983597516 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7243669667 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/28/2014 | ||||||||
| LastUpdateDate: | 02/18/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WR0006X | RN60177230 | WA | Y | Nursing Service Providers | Registered Nurse | Registered Nurse First Assistant |
No ID Information.