Provider Demographics
NPI:1891385357
Name:BARBA, MARIANNE IRENE (RN14954)
Entity Type:Individual
Prefix:MRS
First Name:MARIANNE
Middle Name:IRENE
Last Name:BARBA
Suffix:
Gender:F
Credentials:RN14954
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 DAIRY FARM DR
Mailing Address - Street 2:
Mailing Address - City:WEST WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893-1978
Mailing Address - Country:US
Mailing Address - Phone:401-829-0716
Mailing Address - Fax:
Practice Address - Street 1:2 DAIRY FARM DR
Practice Address - Street 2:
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893-1978
Practice Address - Country:US
Practice Address - Phone:401-829-0716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-19
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN14954163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse