Provider Demographics
NPI:1699320341
Name:BARROW, ELVA MARALINA (RN, BSN)
Entity type:Individual
Prefix:MS
First Name:ELVA
Middle Name:MARALINA
Last Name:BARROW
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13366 CHIMAYO ST
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-8931
Mailing Address - Country:US
Mailing Address - Phone:323-336-0211
Mailing Address - Fax:760-948-5473
Practice Address - Street 1:13366 CHIMAYO ST
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-8931
Practice Address - Country:US
Practice Address - Phone:323-336-0211
Practice Address - Fax:760-948-5473
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA486981163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse