Provider Demographics
NPI:1255830840
Name:BARKER, DELEAH JANAE
Entity Type:Individual
Prefix:
First Name:DELEAH
Middle Name:JANAE
Last Name:BARKER
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 1:7 ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-5124
Mailing Address - Country:US
Mailing Address - Phone:785-633-9440
Mailing Address - Fax:
Practice Address - Street 1:7 ORCHARD DR
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-5124
Practice Address - Country:US
Practice Address - Phone:785-633-9440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-08
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program