Provider Demographics
NPI:1942240775
Name:NOORDSIJ, BARBARA ELIZE (APRN, ND, PMHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ELIZE
Last Name:NOORDSIJ
Suffix:
Gender:F
Credentials:APRN, ND, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8598 COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:CALAIS
Mailing Address - State:VT
Mailing Address - Zip Code:05648-7513
Mailing Address - Country:US
Mailing Address - Phone:802-223-1190
Mailing Address - Fax:
Practice Address - Street 1:8598 COUNTY RD
Practice Address - Street 2:
Practice Address - City:CALAIS
Practice Address - State:VT
Practice Address - Zip Code:05648-7513
Practice Address - Country:US
Practice Address - Phone:802-223-1190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT1010026353363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT360329OtherTRICARE
VT2095322OtherCIGNA
VTOVN2713Medicaid
VT00058530OtherBLUE CROSS
VT2095322OtherCIGNA