Provider Demographics
NPI:1689937096
Name:HART, BARBARA PAILETTE (RN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:PAILETTE
Last Name:HART
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 720
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:LA
Mailing Address - Zip Code:71418-0720
Mailing Address - Country:US
Mailing Address - Phone:318-649-2393
Mailing Address - Fax:318-649-0969
Practice Address - Street 1:501 COLLINS ROAD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:LA
Practice Address - Zip Code:71418-0720
Practice Address - Country:US
Practice Address - Phone:318-649-2393
Practice Address - Fax:318-649-0969
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN060888163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health