Provider Demographics
NPI:1386665115
Name:ANDERSON, BARBARA B (RNMNCS)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:B
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:RNMNCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1276 WEATHERSTONE DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-4644
Mailing Address - Country:US
Mailing Address - Phone:404-320-7045
Mailing Address - Fax:
Practice Address - Street 1:1276 WEATHERSTONE DR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-4644
Practice Address - Country:US
Practice Address - Phone:404-320-7045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA13415401163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult