Provider Demographics
NPI:1811202047
Name:DALTON, BARBARA ELAINE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ELAINE
Last Name:DALTON
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MRS
Other - First Name:BOBBI
Other - Middle Name:
Other - Last Name:DALTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:3211 PINNEY TOPPER RD
Mailing Address - Street 2:
Mailing Address - City:ASHTABULA
Mailing Address - State:OH
Mailing Address - Zip Code:44004-9622
Mailing Address - Country:US
Mailing Address - Phone:440-998-4618
Mailing Address - Fax:
Practice Address - Street 1:3211 PINNEY TOPPER RD
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-9622
Practice Address - Country:US
Practice Address - Phone:440-998-4618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH354836163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical