Provider Demographics
NPI:1871674150
Name:GOTTSCHALK, BARBARA B (CNM, CRNP,)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:B
Last Name:GOTTSCHALK
Suffix:
Gender:F
Credentials:CNM, CRNP,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:JOHNS HOPKINS UNIVERSITY DEPT OF OTOLARYNGOLOGY
Mailing Address - Street 2:601 N CAROLINE ST 6TH FL
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:JOHNS HOPKINS UNIVERSITY DEPT OF OTOLARYNGOLOGY
Practice Address - Street 2:601 N CAROLINE ST, 6TH FLOOR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0001
Practice Address - Country:US
Practice Address - Phone:410-955-2689
Practice Address - Fax:410-614-9444
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR149132367A00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q61703Medicare UPIN