Provider Demographics
NPI:1437576642
Name:ANTOL-DLUGOPOLSKI, BARBARA (APN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:ANTOL-DLUGOPOLSKI
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:585 N JUNIPER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-2559
Mailing Address - Country:US
Mailing Address - Phone:480-499-8700
Mailing Address - Fax:
Practice Address - Street 1:585 N JUNIPER DR STE 200
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-2559
Practice Address - Country:US
Practice Address - Phone:480-499-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209011254363LF0000X
AZAP8985363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily