Provider Demographics
NPI:1467739144
Name:MAYHUGH, BARBARA CARRIE (RNC/NP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:CARRIE
Last Name:MAYHUGH
Suffix:
Gender:F
Credentials:RNC/NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4777 S DOWNING ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-5917
Mailing Address - Country:US
Mailing Address - Phone:303-789-4786
Mailing Address - Fax:
Practice Address - Street 1:660 SOUTHPOINTE CT
Practice Address - Street 2:SUITE 110
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-3804
Practice Address - Country:US
Practice Address - Phone:719-576-1743
Practice Address - Fax:719-576-9076
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONP 713363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology