Healthcare Provider Details

I. General information

NPI: 1841460086
Provider Name (Legal Business Name): BARBARA E DUFFY CRNP-PMH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2008
Last Update Date: 04/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 DULANEY VALLEY RD SUITE 129
TOWSON MD
21204-2600
US

IV. Provider business mailing address

901 DULANEY VALLEY RD SUITE 129
TOWSON MD
21204-2600
US

V. Phone/Fax

Practice location:
  • Phone: 410-832-2729
  • Fax: 410-832-5783
Mailing address:
  • Phone: 410-832-2729
  • Fax: 410-832-5783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR126340
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR126340
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: