Basic Information
Provider Information
NPI: 1811565237
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCARPA
FirstName: BARBARA
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 67 MAPLE AVE
Address2:  
City: DERBY
State: CT
PostalCode: 064181328
CountryCode: US
TelephoneNumber: 2037321256
FaxNumber: 2037321539
Practice Location
Address1: 220 MAIN ST STE 1A
Address2:  
City: OXFORD
State: CT
PostalCode: 064781065
CountryCode: US
TelephoneNumber: 2038885527
FaxNumber: 2038883727
Other Information
ProviderEnumerationDate: 06/13/2021
LastUpdateDate: 01/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/27/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X9722CTN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LA2200X9722CTY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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