Provider Demographics
NPI:1669549804
Name:BARBA, EFFIE DARLENE (ARNP)
Entity type:Individual
Prefix:
First Name:EFFIE
Middle Name:DARLENE
Last Name:BARBA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20812 SULLIVAN RANCH BLVD
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-7886
Mailing Address - Country:US
Mailing Address - Phone:407-506-5205
Mailing Address - Fax:
Practice Address - Street 1:8900 SE 165TH MULBERRY LN DEPT OF
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-5884
Practice Address - Country:US
Practice Address - Phone:352-674-5000
Practice Address - Fax:352-384-7964
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9208148363LA2100X
MO075530363LA2100X
FLAPRN11001179363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care