Provider Demographics
NPI:1902064058
Name:STRONG, BARBARA J (CRNP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:STRONG
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3804 PAMAY DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-7676
Mailing Address - Country:US
Mailing Address - Phone:717-728-4354
Mailing Address - Fax:
Practice Address - Street 1:3804 PAMAY DR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-7676
Practice Address - Country:US
Practice Address - Phone:717-728-4354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP003617B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1573617OtherGATEWAY-WMG
MD930843OtherCAREFIRST MD BCBS
PA374986OtherHIGHMARK BLUE SHIELD
PA210558OtherJOHNS HOPKINS
PA1573617OtherGATEWAY-WMG
PA210558OtherJOHNS HOPKINS