1619319449 NPI number — MRS. BARBARA ODETTE FLOWERS APN, RN

Table of content: MRS. BARBARA ODETTE FLOWERS APN, RN (NPI 1619319449)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619319449 NPI number — MRS. BARBARA ODETTE FLOWERS APN, RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FLOWERS
Provider First Name:
BARBARA
Provider Middle Name:
ODETTE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
APN, RN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619319449
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/15/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
276 E MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DENVILLE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07834-2646
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-664-2391
Provider Business Mailing Address Fax Number:
973-857-3530

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
33 NEWTON SPARTA RD STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07860-2764
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-383-2244
Provider Business Practice Location Address Fax Number:
973-383-0448
Provider Enumeration Date:
07/22/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  26NJ00451800 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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