Provider Demographics
NPI:1134272487
Name:VERHAAR, BARBARA YVONNE (CRNA)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:YVONNE
Last Name:VERHAAR
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:YVONNE
Other - Last Name:DOHNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:11505 W 115TH PL
Mailing Address - Street 2:
Mailing Address - City:CEDAR LAKE
Mailing Address - State:IN
Mailing Address - Zip Code:46303-9759
Mailing Address - Country:US
Mailing Address - Phone:219-688-7441
Mailing Address - Fax:719-623-0353
Practice Address - Street 1:8701 BROADWAY
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-7035
Practice Address - Country:US
Practice Address - Phone:219-738-5510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041-227497163W00000X
CO191258163W00000X
IL209002270367500000X
IN49566367500000X
IA165530367500000X
IAD165723367500000X
COCRA 15023367500000X
IL209-002270367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse