Provider Demographics
NPI:1760824247
Name:BARBOSA, ANA MARIA (RN)
Entity Type:Individual
Prefix:
First Name:ANA MARIA
Middle Name:
Last Name:BARBOSA
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 1:22 CHESTNUT LN
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-6378
Mailing Address - Country:US
Mailing Address - Phone:407-361-3265
Mailing Address - Fax:
Practice Address - Street 1:22 CHESTNUT LN
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-6378
Practice Address - Country:US
Practice Address - Phone:407-361-3265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA228519163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care