Provider Demographics
NPI:1720308752
Name:BARBOUR, HATTIE M
Entity type:Individual
Prefix:MISS
First Name:HATTIE
Middle Name:M
Last Name:BARBOUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 CARRIAGE RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-2606
Mailing Address - Country:US
Mailing Address - Phone:757-570-2004
Mailing Address - Fax:757-645-4686
Practice Address - Street 1:131 CARRIAGE RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-2606
Practice Address - Country:US
Practice Address - Phone:757-570-2004
Practice Address - Fax:757-645-4686
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion