Provider Demographics
NPI:1407960602
Name:LITTLE, BARBARA ELIZABETH (NPC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ELIZABETH
Last Name:LITTLE
Suffix:
Gender:F
Credentials:NPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 E 40TH ST
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-7748
Mailing Address - Country:US
Mailing Address - Phone:928-341-0335
Mailing Address - Fax:
Practice Address - Street 1:3220 E 40TH ST
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-7748
Practice Address - Country:US
Practice Address - Phone:928-341-0335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN139052363LP0808X
AZAP2396363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ104230OtherAHCCCS
FLS52412Medicare UPIN
AZZ113744Medicare PIN
AZZ113745Medicare PIN