Provider Demographics
NPI:1720273733
Name:BARNES-LOTFI, DYLAN E (CRNP)
Entity Type:Individual
Prefix:
First Name:DYLAN
Middle Name:E
Last Name:BARNES-LOTFI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2138 READING BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST LAWN
Mailing Address - State:PA
Mailing Address - Zip Code:19609-2211
Mailing Address - Country:US
Mailing Address - Phone:610-616-3927
Mailing Address - Fax:
Practice Address - Street 1:740 PENN AVE
Practice Address - Street 2:
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1006
Practice Address - Country:US
Practice Address - Phone:610-376-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008374363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily