Provider Demographics
NPI:1003198581
Name:CARALEE BARR
Entity Type:Organization
Organization Name:CARALEE BARR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:CARALEE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-586-9268
Mailing Address - Street 1:8995 FRIENDSHIP DR
Mailing Address - Street 2:
Mailing Address - City:NEW CONCORD
Mailing Address - State:OH
Mailing Address - Zip Code:43762-9653
Mailing Address - Country:US
Mailing Address - Phone:740-586-9268
Mailing Address - Fax:
Practice Address - Street 1:8995 FRIENDSHIP DR
Practice Address - Street 2:
Practice Address - City:NEW CONCORD
Practice Address - State:OH
Practice Address - Zip Code:43762-9653
Practice Address - Country:US
Practice Address - Phone:740-586-9268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH372958163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty