Provider Demographics
NPI:1801173299
Name:ROBERTS, BARBARA ANN (RN)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9218 216TH ST
Mailing Address - Street 2:
Mailing Address - City:QUEENS VLG
Mailing Address - State:NY
Mailing Address - Zip Code:11428-1252
Mailing Address - Country:US
Mailing Address - Phone:718-217-2779
Mailing Address - Fax:718-217-2779
Practice Address - Street 1:9218 218 ST.
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11428-1252
Practice Address - Country:US
Practice Address - Phone:718-217-2779
Practice Address - Fax:718-217-2779
Is Sole Proprietor?:No
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2734171163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health