Provider Demographics
NPI:1851093793
Name:COLEY, BARBARA ANN (CNA)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:COLEY
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 HALIFAX ST STE 2F
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:VA
Mailing Address - Zip Code:23847-1711
Mailing Address - Country:US
Mailing Address - Phone:757-920-1605
Mailing Address - Fax:
Practice Address - Street 1:401 HALIFAX ST STE 2F
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:VA
Practice Address - Zip Code:23847-1711
Practice Address - Country:US
Practice Address - Phone:757-920-1605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA14010234563747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant