Provider Demographics
NPI:1760551162
Name:BARLOW, BARBARA (NP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:BARLOW
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 GREEN ACRE DR
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-3605
Mailing Address - Country:US
Mailing Address - Phone:714-299-6226
Mailing Address - Fax:
Practice Address - Street 1:1201 S HACIENDA BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:HACIENDA HTS
Practice Address - State:CA
Practice Address - Zip Code:91745
Practice Address - Country:US
Practice Address - Phone:626-968-0547
Practice Address - Fax:626-968-7599
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1617363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health