Provider Demographics
NPI:1013173459
Name:BARASH, URSULA (RN)
Entity Type:Individual
Prefix:MRS
First Name:URSULA
Middle Name:
Last Name:BARASH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2725 SKELTON LN
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-8747
Mailing Address - Country:US
Mailing Address - Phone:614-939-5119
Mailing Address - Fax:614-939-5121
Practice Address - Street 1:2725 SKELTON LN
Practice Address - Street 2:
Practice Address - City:BLACKLICK
Practice Address - State:OH
Practice Address - Zip Code:43004-8747
Practice Address - Country:US
Practice Address - Phone:614-939-5119
Practice Address - Fax:614-939-5121
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN. 284243163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse