Provider Demographics
NPI:1689963308
Name:GERSHENSON, BARBARA SUE (RN, CRNFA)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:SUE
Last Name:GERSHENSON
Suffix:
Gender:F
Credentials:RN, CRNFA
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:SUE
Other - Last Name:AGGE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, CRNFA
Mailing Address - Street 1:2951 WOODCREST DR
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-2034
Mailing Address - Country:US
Mailing Address - Phone:850-866-5651
Mailing Address - Fax:
Practice Address - Street 1:2951 WOODCREST DR
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-2034
Practice Address - Country:US
Practice Address - Phone:850-866-5651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN1972192163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant