Provider Demographics
NPI:1972685022
Name:RAHMAN, BARBARA A (APRN)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:A
Last Name:RAHMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5114 N SEMINOLE AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-2204
Mailing Address - Country:US
Mailing Address - Phone:727-967-7127
Mailing Address - Fax:
Practice Address - Street 1:5114 N SEMINOLE AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-2204
Practice Address - Country:US
Practice Address - Phone:727-967-7127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW76581041C0700X
FLAPRN9287098363LP0808X
AZAP4777363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ085UOtherBLUE SHIELD OF FLORIDA