Provider Demographics
NPI:1376646497
Name:SIMONE, BARBARA R (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:R
Last Name:SIMONE
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 BRADLEY DR
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JCT
Mailing Address - State:NY
Mailing Address - Zip Code:12533-5817
Mailing Address - Country:US
Mailing Address - Phone:845-227-7017
Mailing Address - Fax:
Practice Address - Street 1:27 BRADLEY DR
Practice Address - Street 2:
Practice Address - City:HOPEWELL JCT
Practice Address - State:NY
Practice Address - Zip Code:12533-5817
Practice Address - Country:US
Practice Address - Phone:845-227-7017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY330506-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily