Provider Demographics
NPI:1104481142
Name:SHIMOFF, BARBARA LYNN (RN)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:LYNN
Last Name:SHIMOFF
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 THOMPSON LANE
Mailing Address - Street 2:SUITE 108-442
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204
Mailing Address - Country:US
Mailing Address - Phone:916-767-4515
Mailing Address - Fax:916-368-5157
Practice Address - Street 1:1612 WESTGATE CIRCLE
Practice Address - Street 2:SUITE 112
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064
Practice Address - Country:US
Practice Address - Phone:615-236-8619
Practice Address - Fax:629-666-5941
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN256630163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95066258OtherREGISTERED NURSE