Provider Demographics
NPI:1558384859
Name:BARR, JOAN M (NP)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:M
Last Name:BARR
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:950 N MERIDIAN ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-1077
Mailing Address - Country:US
Mailing Address - Phone:317-962-4836
Mailing Address - Fax:317-962-4812
Practice Address - Street 1:1801 SENATE BLVD
Practice Address - Street 2:SUITE 3100
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1228
Practice Address - Country:US
Practice Address - Phone:317-962-9700
Practice Address - Fax:317-962-5360
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IN28080556364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP82995Medicare ID - Type Unspecified