Provider Demographics
NPI:1508876046
Name:POPE, BARBARA AQUADRO (APRN, BC)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:AQUADRO
Last Name:POPE
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:MISS
Other - First Name:BARBARA
Other - Middle Name:N
Other - Last Name:AQUADRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1723 GLENWOOD PL
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-5109
Mailing Address - Country:US
Mailing Address - Phone:901-278-8416
Mailing Address - Fax:
Practice Address - Street 1:1030 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-2127
Practice Address - Country:US
Practice Address - Phone:901-523-8990
Practice Address - Fax:901-577-7449
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000043756363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology