Provider Demographics
NPI:1912663097
Name:DOOLEY, BARBARA (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:DOOLEY
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7710 NW 71ST CT STE 101
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-2930
Mailing Address - Country:US
Mailing Address - Phone:954-495-4020
Mailing Address - Fax:
Practice Address - Street 1:7710 NW 71ST CT STE 101
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2930
Practice Address - Country:US
Practice Address - Phone:954-495-4020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9202868163WH0200X, 163WA2000X, 163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)