Provider Demographics
NPI:1285046441
Name:DUFFY, BARBARA (APN)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:DUFFY
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 MORNINGSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-2507
Mailing Address - Country:US
Mailing Address - Phone:973-949-3371
Mailing Address - Fax:
Practice Address - Street 1:13 MORNINGSIDE AVE
Practice Address - Street 2:
Practice Address - City:NORTH HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-2507
Practice Address - Country:US
Practice Address - Phone:973-949-3371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-22
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC0353000163WP0808X
NJ26NN03532000163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health