Provider Demographics
NPI:1518641174
Name:BARBA, MEREDITH (WHNP, IBCLC)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:BARBA
Suffix:
Gender:F
Credentials:WHNP, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1955 1ST AVE APT 607
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6444
Mailing Address - Country:US
Mailing Address - Phone:206-795-6877
Mailing Address - Fax:
Practice Address - Street 1:1955 1ST AVE APT 607
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6444
Practice Address - Country:US
Practice Address - Phone:206-795-6877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY421663363LW0102X
NY800300163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health