Healthcare Provider Details

I. General information

NPI: 1114880333
Provider Name (Legal Business Name): KATELIN E BARRICK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 G AVE
NEW CUMBERLAND PA
17070
US

IV. Provider business mailing address

400 G AVE
NEW CUMBERLAND PA
17070
US

V. Phone/Fax

Practice location:
  • Phone: 717-770-4137
  • Fax: 717-770-8484
Mailing address:
  • Phone: 717-770-4137
  • Fax: 717-770-8484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN284887
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: