Provider Demographics
NPI:1992783625
Name:CLIFFORD, BARBARA L (FNP)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:L
Last Name:CLIFFORD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 EAGLE DR
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-4523
Mailing Address - Country:US
Mailing Address - Phone:978-851-4254
Mailing Address - Fax:
Practice Address - Street 1:170 MAIN ST
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-1764
Practice Address - Country:US
Practice Address - Phone:978-851-4141
Practice Address - Fax:978-640-9840
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA112259363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily