Provider Demographics
NPI:1528525847
Name:BARBELLA, PHYLLIS A (APN)
Entity type:Individual
Prefix:
First Name:PHYLLIS
Middle Name:A
Last Name:BARBELLA
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 1:2106 NEW RD STE D6
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1050
Mailing Address - Country:US
Mailing Address - Phone:609-927-1188
Mailing Address - Fax:609-927-5515
Practice Address - Street 1:2106 NEW RD STE D6
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1050
Practice Address - Country:US
Practice Address - Phone:609-927-1188
Practice Address - Fax:609-927-5515
Is Sole Proprietor?:No
Enumeration Date:2019-02-22
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN08471400363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care