Provider Demographics
NPI:1205650728
Name:BARBER, CHARITY (RN)
Entity type:Individual
Prefix:
First Name:CHARITY
Middle Name:
Last Name:BARBER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CHARITY
Other - Middle Name:
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:12 FORT HILL PARK
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13830-2900
Mailing Address - Country:US
Mailing Address - Phone:607-843-2025
Mailing Address - Fax:
Practice Address - Street 1:12 FORT HILL PARK
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NY
Practice Address - Zip Code:13830-2900
Practice Address - Country:US
Practice Address - Phone:607-843-2025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY702777163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool