Provider Demographics
NPI:1184820458
Name:HARRISON, BARBARA E (FNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:E
Last Name:HARRISON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:NAUSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HYGEIA DRIVE
Mailing Address - Street 2:SUITE 2374
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:302-623-7200
Mailing Address - Fax:
Practice Address - Street 1:205 W. 14TH STREET
Practice Address - Street 2:SUITE 100A SWANK MEMORY CARE CENTER
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-0000
Practice Address - Country:US
Practice Address - Phone:302-428-2620
Practice Address - Fax:302-428-2638
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704189755363LG0600X
DELG-0000579363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOM83100Medicare ID - Type Unspecified