Provider Demographics
NPI:1477330272
Name:BARR, RAMONA L (RN)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:L
Last Name:BARR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:RAMONA
Other - Middle Name:LEE
Other - Last Name:FLAGG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11391 NE 109TH PL
Mailing Address - Street 2:
Mailing Address - City:ARCHER
Mailing Address - State:FL
Mailing Address - Zip Code:32618-6970
Mailing Address - Country:US
Mailing Address - Phone:352-777-8518
Mailing Address - Fax:
Practice Address - Street 1:2000 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1136
Practice Address - Country:US
Practice Address - Phone:352-265-0111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9352079163W00000X
SC271737163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse