Provider Demographics
NPI:1063489664
Name:HUNEYCUTT, BARBARA CAROL (NP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:CAROL
Last Name:HUNEYCUTT
Suffix:
Gender:F
Credentials:NP
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3396 CLOVERLEAF PKWY
Mailing Address - Street 2:SUBURBAN PEDIATRICS
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28083-6992
Mailing Address - Country:US
Mailing Address - Phone:704-784-1811
Mailing Address - Fax:704-784-8615
Practice Address - Street 1:3396 CLOVERLEAF PKWY
Practice Address - Street 2:SUBURBAN PEDIATRICS
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28083-6992
Practice Address - Country:US
Practice Address - Phone:704-784-1811
Practice Address - Fax:704-784-8615
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC300015363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCS83367Medicare UPIN