Healthcare Provider Details

I. General information

NPI: 1457301483
Provider Name (Legal Business Name): BARBARA JOAN MCCABE CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E 19TH AVE
DENVER CO
80218-1216
US

IV. Provider business mailing address

15382 W 73RD PL
ARVADA CO
80007-7866
US

V. Phone/Fax

Practice location:
  • Phone: 303-860-9990
  • Fax:
Mailing address:
  • Phone: 303-422-3094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP1700X
TaxonomyPerinatal Nurse Practitioner
License Number66932
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: