Provider Demographics
NPI:1154546448
Name:CARR, BARBARA A (PNP)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:A
Last Name:CARR
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1 CHILDRENS PL
Mailing Address - Street 2:C B 8116
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1002
Mailing Address - Country:US
Mailing Address - Phone:314-454-6228
Mailing Address - Fax:314-454-2780
Practice Address - Street 1:1 CHILDRENS PL
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1002
Practice Address - Country:US
Practice Address - Phone:314-454-6228
Practice Address - Fax:314-454-2780
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO076577363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics