MEDICARE: MS. BARBARA FLOWERS TELAN RNFA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WR0006X	Registered Nurse First Assistant	ARNP595122	FL
2	367A00000X	Advanced Practice Midwife	ARNP 595122	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376660159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA FLOWERS TELAN RNFA

Provider Business Mailing Address
First Line	:	8049 VIA HACIENDA
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33418-7856
Country	:	US
Telephone Number	:	561-844-1167
Fax Number	:

Provider Business Practice Location Address
First Line	:	8049 VIA HACIENDA
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33418-7856
Country	:	US
Telephone Number	:	561-844-1167
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2007
Last Update Date	:	09/11/2025

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