Healthcare Provider Details

I. General information

NPI: 1376660159
Provider Name (Legal Business Name): BARBARA FLOWERS TELAN RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8049 VIA HACIENDA
RIVIERA BEACH FL
33418-7856
US

IV. Provider business mailing address

8049 VIA HACIENDA
RIVIERA BEACH FL
33418-7856
US

V. Phone/Fax

Practice location:
  • Phone: 561-844-1167
  • Fax:
Mailing address:
  • Phone: 561-844-1167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberARNP595122
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberARNP 595122
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: