Provider Demographics
NPI:1811971435
Name:BARNABEI, EDWARD BRIAN (CRNA)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:BRIAN
Last Name:BARNABEI
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3157
Mailing Address - Street 2:
Mailing Address - City:MARGATE CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08402-0157
Mailing Address - Country:US
Mailing Address - Phone:610-613-1291
Mailing Address - Fax:
Practice Address - Street 1:108 N DELAVAN AVE
Practice Address - Street 2:
Practice Address - City:MARGATE CITY
Practice Address - State:NJ
Practice Address - Zip Code:08402-1906
Practice Address - Country:US
Practice Address - Phone:610-613-1291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR06061200367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ345850Medicare ID - Type Unspecified