Provider Demographics
NPI:1962990184
Name:GBARBEA, DEMENIA (APRN)
Entity type:Individual
Prefix:
First Name:DEMENIA
Middle Name:
Last Name:GBARBEA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:DEMENIA
Other - Middle Name:
Other - Last Name:GBARBEA-KAINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3217 SHERIDAN AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55412-2241
Mailing Address - Country:US
Mailing Address - Phone:763-313-4244
Mailing Address - Fax:
Practice Address - Street 1:3217 SHERIDAN AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55412-2241
Practice Address - Country:US
Practice Address - Phone:763-313-4244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-24
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR129010163WH0200X
MN6532363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WH0200XNursing Service ProvidersRegistered NurseHome Health