Provider Demographics
NPI:1659434033
Name:SMITH, BARBARA ELLEN (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ELLEN
Last Name:SMITH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:ELLEN
Other - Last Name:FESSENDEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP
Mailing Address - Street 1:PO BOX 813
Mailing Address - Street 2:PLANNED PARENTHOOD KEYSTONE
Mailing Address - City:TREXLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18087-0813
Mailing Address - Country:US
Mailing Address - Phone:610-481-0481
Mailing Address - Fax:610-481-0486
Practice Address - Street 1:48 S 4TH ST
Practice Address - Street 2:PLANNED PARENTHOOD KEYSTONE
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19602-1047
Practice Address - Country:US
Practice Address - Phone:610-481-0481
Practice Address - Fax:610-481-0486
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN348762LRN363LA2200X
PASP004796HCRNP363LA2200X
PASP009952-CRNP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health