Provider Demographics
NPI:1740418565
Name:BARR, TERESA FREELAND (ARNP)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:FREELAND
Last Name:BARR
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:PO BOX 826
Mailing Address - Street 2:
Mailing Address - City:HIGH SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32655-0826
Mailing Address - Country:US
Mailing Address - Phone:352-336-3050
Mailing Address - Fax:352-373-0584
Practice Address - Street 1:25406 NW 168TH PL
Practice Address - Street 2:
Practice Address - City:HIGH SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32643-1636
Practice Address - Country:US
Practice Address - Phone:352-336-3050
Practice Address - Fax:352-373-0584
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1366132363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health