Provider Demographics
NPI:1811993868
Name:LONG, BARBARA BAKER (CRNA)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:BAKER
Last Name:LONG
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 W. GERMANTOWN PIKE, SUITE 150
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462
Mailing Address - Country:US
Mailing Address - Phone:610-525-4966
Mailing Address - Fax:
Practice Address - Street 1:DOYLESTOWN SURGICAL CENTER
Practice Address - Street 2:593 WEST STATE ST SUITE 300
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901
Practice Address - Country:US
Practice Address - Phone:267-383-4100
Practice Address - Fax:267-458-7840
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN-314655-L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
S770150Medicare UPIN
PA039149Medicare ID - Type Unspecified