Provider Demographics
NPI:1558982314
Name:BARR, KARA (CRNP)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:BARR
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:NERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:PO BOX 191
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:DE
Mailing Address - Zip Code:19732-0191
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3401 CIVIC CENTER BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4319
Practice Address - Country:US
Practice Address - Phone:215-590-3440
Practice Address - Fax:267-425-9552
Is Sole Proprietor?:No
Enumeration Date:2020-05-04
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP020931363LP0200X
DEL1-0050236363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner