Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | SP005240J | PA |
NPI | 1235311085 |
---|---|
Provider Name | Ms. Annmarie Barber |
First Address | Drexel Hill, PA 19026-1114 |
Second Address | Drexel Hill, PA 19026-1114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2007 |
Last Update Date | 04/12/2007 |