Provider Demographics
NPI:1083616486
Name:KURA, BARBARA E (FNP)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:E
Last Name:KURA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:553 WINTERTON RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGBURG
Mailing Address - State:NY
Mailing Address - Zip Code:12721-4119
Mailing Address - Country:US
Mailing Address - Phone:845-733-1470
Mailing Address - Fax:
Practice Address - Street 1:1200 STATE ROUTE 208
Practice Address - Street 2:SUITE 13
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-4648
Practice Address - Country:US
Practice Address - Phone:845-783-6266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF333906363LF0000X
NY530570-1163W00000X
NJ26NO12294700163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02316618Medicaid
NYP72513Medicare UPIN