Provider Demographics
NPI:1457579955
Name:ROSS, BARBARA ANN (NP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:ROSS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 US HIGHWAY 27 S
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-2169
Mailing Address - Country:US
Mailing Address - Phone:863-294-7558
Mailing Address - Fax:863-295-9282
Practice Address - Street 1:429 2ND ST NW
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-4168
Practice Address - Country:US
Practice Address - Phone:863-294-7558
Practice Address - Fax:863-295-9282
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1023162363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAI090OtherMEDICARE GROUP PIN
FLAI090OtherMEDICARE GROUP PIN