Provider Demographics
NPI:1003268228
Name:MASTERS, BARBARA JO (ARNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:JO
Last Name:MASTERS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:JO
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:417 S EAST ST
Mailing Address - Street 2:
Mailing Address - City:CORYDON
Mailing Address - State:IA
Mailing Address - Zip Code:50060-1860
Mailing Address - Country:US
Mailing Address - Phone:641-872-2260
Mailing Address - Fax:641-872-3116
Practice Address - Street 1:101 MAIN STREET
Practice Address - Street 2:
Practice Address - City:LINEVILLE
Practice Address - State:IA
Practice Address - Zip Code:50147-8517
Practice Address - Country:US
Practice Address - Phone:641-876-2070
Practice Address - Fax:641-876-2458
Is Sole Proprietor?:No
Enumeration Date:2016-07-12
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA089550363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily