Provider Demographics
NPI:1073070280
Name:BARGE, MILADY FERRER
Entity Type:Individual
Prefix:
First Name:MILADY
Middle Name:FERRER
Last Name:BARGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MILADY
Other - Middle Name:ANTONIO
Other - Last Name:FERRER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:298B BERNAL ROAD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95119-1809
Mailing Address - Country:US
Mailing Address - Phone:408-638-4744
Mailing Address - Fax:408-956-6303
Practice Address - Street 1:298B BERNAL ROAD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1809
Practice Address - Country:US
Practice Address - Phone:408-638-4744
Practice Address - Fax:408-956-6303
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-24
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA688457164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse