Provider Demographics
NPI:1750539318
Name:BARFIELD, ANDREA HUBBARD (PA-C)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:HUBBARD
Last Name:BARFIELD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:SHIRLEY
Other - Last Name:BARFIELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 7867
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-0867
Mailing Address - Country:US
Mailing Address - Phone:252-291-3100
Mailing Address - Fax:252-243-0599
Practice Address - Street 1:1812 GLENDALE DR SW
Practice Address - Street 2:SUITE B
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-4676
Practice Address - Country:US
Practice Address - Phone:252-291-3100
Practice Address - Fax:252-243-0559
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-01508363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8101578Medicaid
NC2759265Medicare PIN