Provider Demographics
NPI:1588971857
Name:LITTLE, BARBARA ANNE (RN)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANNE
Last Name:LITTLE
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 1:6586 BANTAM LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92119-2609
Mailing Address - Country:US
Mailing Address - Phone:619-469-7206
Mailing Address - Fax:
Practice Address - Street 1:6586 BANTAM LAKE CIR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92119-2609
Practice Address - Country:US
Practice Address - Phone:619-469-7206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA203366163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse