Provider Demographics
NPI:1124794938
Name:STOTTS, BARBARA JULIANN (RN, MSN)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:JULIANN
Last Name:STOTTS
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 STONINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-6723
Mailing Address - Country:US
Mailing Address - Phone:740-296-1345
Mailing Address - Fax:
Practice Address - Street 1:2040 STONINGTON WAY
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-6723
Practice Address - Country:US
Practice Address - Phone:740-296-1345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH395649163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse