Healthcare Provider Details

I. General information

NPI: 1922468412
Provider Name (Legal Business Name): BARBARA CURTIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2016
Last Update Date: 02/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2564 MAYFIELD ST
YORK PA
17406-3119
US

IV. Provider business mailing address

2564 MAYFIELD ST
YORK PA
17406-3119
US

V. Phone/Fax

Practice location:
  • Phone: 904-505-8038
  • Fax:
Mailing address:
  • Phone: 904-505-8038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number272920
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number272920
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: