Basic Information
| Provider Information | |||||||||
| NPI: | 1093946816 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SPENCER | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | GILBRETH | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | REGISTERED NURSE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 315 CAMINO DEL REMEDIO # 258 | ||||||||
| Address2: | |||||||||
| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931101332 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8056815450 | ||||||||
| FaxNumber: | 8056814747 | ||||||||
| Practice Location | |||||||||
| Address1: | 315 CAMINO DEL REMEDIO # 258 | ||||||||
| Address2: | |||||||||
| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931101332 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8056815450 | ||||||||
| FaxNumber: | 8056814747 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/28/2009 | ||||||||
| LastUpdateDate: | 06/15/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0808X | 403786 | CA | N | Nursing Service Providers | Registered Nurse | Psych/Mental Health | 163W00000X | 403786 | CA | Y | Nursing Service Providers | Registered Nurse |
No ID Information.