Provider Demographics
NPI:1396084117
Name:BARBER, DONNA M (CNA/ASSOCIATE DEGREE)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:BARBER
Suffix:
Gender:F
Credentials:CNA/ASSOCIATE DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 ASH ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15902-2021
Mailing Address - Country:US
Mailing Address - Phone:814-536-5617
Mailing Address - Fax:814-536-5617
Practice Address - Street 1:519 ASH ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15902-2021
Practice Address - Country:US
Practice Address - Phone:814-536-5617
Practice Address - Fax:814-536-5617
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-14
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA9981507372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion