Provider Demographics
NPI:1356467518
Name:LABB, BARBARA A (LPN)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:A
Last Name:LABB
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-1743
Mailing Address - Country:US
Mailing Address - Phone:609-561-7260
Mailing Address - Fax:
Practice Address - Street 1:230 FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-1743
Practice Address - Country:US
Practice Address - Phone:609-561-7260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJP047416164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP047416OtherLPN