Provider Demographics
NPI:1538379755
Name:DELOIAN, BARBARA JONES (PHD, RN, CPNP, IBCLC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:JONES
Last Name:DELOIAN
Suffix:
Gender:F
Credentials:PHD, RN, CPNP, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 PARKCLIFF LN
Mailing Address - Street 2:
Mailing Address - City:CASTLE PINES
Mailing Address - State:CO
Mailing Address - Zip Code:80108-3646
Mailing Address - Country:US
Mailing Address - Phone:720-480-5367
Mailing Address - Fax:
Practice Address - Street 1:904 PARKCLIFF LN
Practice Address - Street 2:
Practice Address - City:CASTLE PINES
Practice Address - State:CO
Practice Address - Zip Code:80108-3646
Practice Address - Country:US
Practice Address - Phone:720-480-5367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO88323363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07883234Medicaid
CO07883234Medicaid