Provider Demographics
NPI:1205084068
Name:BARBER, GAIL (RN,NP)
Entity type:Individual
Prefix:MS
First Name:GAIL
Middle Name:
Last Name:BARBER
Suffix:
Gender:F
Credentials:RN,NP
Other - Prefix:MS
Other - First Name:GAIL
Other - Middle Name:BARBER
Other - Last Name:SHEALY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, NP
Mailing Address - Street 1:16661 PARADISE MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY CENTER
Mailing Address - State:CA
Mailing Address - Zip Code:92082-7453
Mailing Address - Country:US
Mailing Address - Phone:760-219-0659
Mailing Address - Fax:
Practice Address - Street 1:16661 PARADISE MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:VALLEY CENTER
Practice Address - State:CA
Practice Address - Zip Code:92082-7453
Practice Address - Country:US
Practice Address - Phone:760-219-0659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-05
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP1580363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner