Healthcare Provider Details

I. General information

NPI: 1225135296
Provider Name (Legal Business Name): JUDITH H. BARR CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2339 CLEVELAND AVE
COLUMBUS OH
43211-1609
US

IV. Provider business mailing address

5055 FELICITY CT
CANAL WINCHESTER OH
43110-8751
US

V. Phone/Fax

Practice location:
  • Phone: 614-268-8221
  • Fax: 614-263-1891
Mailing address:
  • Phone: 614-836-1311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP-00288
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: