Provider Demographics
NPI:1679820054
Name:HASKELL, BARBARA LYNN (ARNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LYNN
Last Name:HASKELL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6150 OAK TREE BLVD
Mailing Address - Street 2:STE 200
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131-2569
Mailing Address - Country:US
Mailing Address - Phone:352-383-8222
Mailing Address - Fax:352-383-1420
Practice Address - Street 1:3619 LAKE CENTER DR
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-2364
Practice Address - Country:US
Practice Address - Phone:352-383-8222
Practice Address - Fax:352-383-1420
Is Sole Proprietor?:No
Enumeration Date:2012-08-05
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1052652363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily