Provider Demographics
NPI:1376571836
Name:BARKDOLL, CARRANDA M (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:CARRANDA
Middle Name:M
Last Name:BARKDOLL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1051 E MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WAYNESBORO
Mailing Address - State:PA
Mailing Address - Zip Code:17268-2318
Mailing Address - Country:US
Mailing Address - Phone:717-762-3050
Mailing Address - Fax:717-762-8254
Practice Address - Street 1:1051 E MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-2318
Practice Address - Country:US
Practice Address - Phone:717-762-3050
Practice Address - Fax:717-762-8254
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP006918B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily