Basic Information
Provider Information
NPI: 1558396630
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DUNCAN
FirstName: BARBARA
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MSN, APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 243 BEARDSLEY RD
Address2:  
City: SHELTON
State: CT
PostalCode: 064841845
CountryCode: US
TelephoneNumber: 2039258914
FaxNumber:  
Practice Location
Address1: 950 CAMPBELL AVE
Address2: 118
City: WEST HAVEN
State: CT
PostalCode: 065162770
CountryCode: US
TelephoneNumber: 2039325711
FaxNumber: 2039374789
Other Information
ProviderEnumerationDate: 07/11/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WP0809X001068CTY Nursing Service ProvidersRegistered NursePsych/Mental Health, Adult

No ID Information.


Home