Provider Demographics
NPI:1467503623
Name:SCHREIBER-EARL, BARBARA J (PA-C)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:SCHREIBER-EARL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 N FORBES BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-1412
Mailing Address - Country:US
Mailing Address - Phone:520-498-6467
Mailing Address - Fax:520-531-1424
Practice Address - Street 1:551 W MAGEE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-6439
Practice Address - Country:US
Practice Address - Phone:520-498-6467
Practice Address - Fax:520-531-1424
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1101363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ283214Medicaid
118929OtherMEDICARE PTAN
AZ283214Medicaid