Provider Demographics
NPI:1508002965
Name:MEACHAM, BARBARA LUCILLE (RN)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:LUCILLE
Last Name:MEACHAM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 SOUTHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ARCADE
Mailing Address - State:NY
Mailing Address - Zip Code:14009-9502
Mailing Address - Country:US
Mailing Address - Phone:585-492-0276
Mailing Address - Fax:
Practice Address - Street 1:4 SOUTHVIEW DR
Practice Address - Street 2:
Practice Address - City:ARCADE
Practice Address - State:NY
Practice Address - Zip Code:14009-9502
Practice Address - Country:US
Practice Address - Phone:585-492-0276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY425471163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health