Provider Demographics
NPI:1619111770
Name:BARBA, VILMA CAPATI (BSN, RN)
Entity Type:Individual
Prefix:
First Name:VILMA
Middle Name:CAPATI
Last Name:BARBA
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 N ANTIOCH AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-7311
Mailing Address - Country:US
Mailing Address - Phone:559-478-4724
Mailing Address - Fax:
Practice Address - Street 1:2210 N ANTIOCH AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-7311
Practice Address - Country:US
Practice Address - Phone:559-478-4724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA630400163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical