Provider Demographics
NPI:1497993463
Name:BARR, CARALEE MICHELLE
Entity Type:Individual
Prefix:
First Name:CARALEE
Middle Name:MICHELLE
Last Name:BARR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8995 FRIENDSHIP DR
Mailing Address - Street 2:
Mailing Address - City:NEW CONCORD
Mailing Address - State:OH
Mailing Address - Zip Code:43762-9653
Mailing Address - Country:US
Mailing Address - Phone:740-586-9268
Mailing Address - Fax:
Practice Address - Street 1:8995 FRIENDSHIP DR
Practice Address - Street 2:
Practice Address - City:NEW CONCORD
Practice Address - State:OH
Practice Address - Zip Code:43762-9653
Practice Address - Country:US
Practice Address - Phone:740-586-9268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-29
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH372958163W00000X
OHPN.131669164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse