Provider Demographics
NPI:1154752731
Name:LIVINGSTON, BARBARA (RN)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:LIVINGSTON
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 1:1 COMMERCE WAY
Mailing Address - Street 2:BUILDING 1, UNIT C
Mailing Address - City:CARVER
Mailing Address - State:MA
Mailing Address - Zip Code:02330-1081
Mailing Address - Country:US
Mailing Address - Phone:508-778-0300
Mailing Address - Fax:508-778-8747
Practice Address - Street 1:30 ELM AVE
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-5547
Practice Address - Country:US
Practice Address - Phone:508-778-5420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-06
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN232068163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health