Provider Demographics
NPI:1518027168
Name:HARRY, BARBARA MARIE (APRN,C)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:MARIE
Last Name:HARRY
Suffix:
Gender:F
Credentials:APRN,C
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:MARIE
Other - Last Name:KLINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1415 ROUTE 70 E
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-2210
Mailing Address - Country:US
Mailing Address - Phone:856-354-2022
Mailing Address - Fax:856-954-2231
Practice Address - Street 1:600 G ST UNIT 170
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08332-2111
Practice Address - Country:US
Practice Address - Phone:856-293-7909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP001902H363LG0600X
NJ26NJ00114900363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7780648Medicaid
VA7780648Medicaid