Provider Demographics
NPI:1639105687
Name:VODVARKA, BARBARA ANN (RN-CS,MSN,FNP-C)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:VODVARKA
Suffix:
Gender:F
Credentials:RN-CS,MSN,FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 EVERETTS CORNER RD
Mailing Address - Street 2:
Mailing Address - City:HARTLY
Mailing Address - State:DE
Mailing Address - Zip Code:19953-3433
Mailing Address - Country:US
Mailing Address - Phone:302-492-0425
Mailing Address - Fax:
Practice Address - Street 1:1275 S STATE ST
Practice Address - Street 2:BAYHEALTH MEDICAL CENTER - OCCUPATIONAL HEALTH
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-6927
Practice Address - Country:US
Practice Address - Phone:302-678-1303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL0264363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
DES95346Medicare UPIN