Provider Demographics
NPI:1194903914
Name:BARRON, MAUREEN FRANCES (LICENSED PRACTICAL N)
Entity type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:FRANCES
Last Name:BARRON
Suffix:
Gender:F
Credentials:LICENSED PRACTICAL N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 LANDING LN
Mailing Address - Street 2:
Mailing Address - City:EAST QUOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11942-4800
Mailing Address - Country:US
Mailing Address - Phone:631-728-0611
Mailing Address - Fax:
Practice Address - Street 1:17 LANDING LN
Practice Address - Street 2:
Practice Address - City:EAST QUOGUE
Practice Address - State:NY
Practice Address - Zip Code:11942-4800
Practice Address - Country:US
Practice Address - Phone:631-728-0611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236853-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse