Provider Demographics
NPI:1205635323
Name:BARDEN, EMILY (PDIC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:BARDEN
Suffix:
Gender:
Credentials:PDIC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:POAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:437 W CENTERTON BLVD
Mailing Address - Street 2:
Mailing Address - City:CENTERTON
Mailing Address - State:AR
Mailing Address - Zip Code:72719-8701
Mailing Address - Country:US
Mailing Address - Phone:501-279-8851
Mailing Address - Fax:
Practice Address - Street 1:437 W CENTERTON BLVD
Practice Address - Street 2:
Practice Address - City:CENTERTON
Practice Address - State:AR
Practice Address - Zip Code:72719-8701
Practice Address - Country:US
Practice Address - Phone:501-279-8511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPDIC01225374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula