Provider Demographics
NPI:1518905363
Name:BARRS, MARY MAGDALENE (CNA/HHA)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:MAGDALENE
Last Name:BARRS
Suffix:
Gender:F
Credentials:CNA/HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5780 12TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-4908
Mailing Address - Country:US
Mailing Address - Phone:239-455-5828
Mailing Address - Fax:239-455-5828
Practice Address - Street 1:824 94TH AVE N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-2451
Practice Address - Country:US
Practice Address - Phone:239-597-9696
Practice Address - Fax:239-597-9696
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA 321883747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant