Provider Demographics
NPI:1457538084
Name:COHEN, BARBI (PNP)
Entity Type:Individual
Prefix:MRS
First Name:BARBI
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 I-30 STE B130
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-2699
Mailing Address - Country:US
Mailing Address - Phone:972-686-6400
Mailing Address - Fax:
Practice Address - Street 1:3500 I-30 STE B130
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-2699
Practice Address - Country:US
Practice Address - Phone:972-686-6400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX621950363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner