Provider Demographics
NPI:1821065350
Name:MAI, BARBARA ELOISA (PHD, APRN, BC-P)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ELOISA
Last Name:MAI
Suffix:
Gender:F
Credentials:PHD, APRN, BC-P
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:ELAINE
Other - Last Name:MOQUIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, APRN, BC-P
Mailing Address - Street 1:44 NAPA VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-4111
Mailing Address - Country:US
Mailing Address - Phone:301-758-0575
Mailing Address - Fax:
Practice Address - Street 1:44 NAPA VALLEY RD
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-4111
Practice Address - Country:US
Practice Address - Phone:301-758-0575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR113810163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult