Provider Demographics
NPI:1154674539
Name:VINING, BARBARA M
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:M
Last Name:VINING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CALLANDER CT
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-1893
Mailing Address - Country:US
Mailing Address - Phone:419-872-7271
Mailing Address - Fax:
Practice Address - Street 1:10 CALLANDER CT
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-1893
Practice Address - Country:US
Practice Address - Phone:419-087-2727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner