Provider Demographics
NPI:1285659987
Name:ESPOSITO, BARBARA J (APRN)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J
Last Name:ESPOSITO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3074 WHITNEY AVE
Mailing Address - Street 2:BOLD 1
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-2391
Mailing Address - Country:US
Mailing Address - Phone:203-287-2280
Mailing Address - Fax:203-230-9192
Practice Address - Street 1:3074 WHITNEY AVE
Practice Address - Street 2:BOLD 1
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-2391
Practice Address - Country:US
Practice Address - Phone:203-287-2280
Practice Address - Fax:203-230-9192
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT000286364SP0809X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004181715Medicaid
CT004181715Medicaid
S55784Medicare UPIN