Provider Demographics
NPI:1831207406
Name:HALBROOK, BARI BLESSING (APRN)
Entity type:Individual
Prefix:MRS
First Name:BARI
Middle Name:BLESSING
Last Name:HALBROOK
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:1105 CACHE RIVER RD
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-6389
Mailing Address - Country:US
Mailing Address - Phone:501-758-9076
Mailing Address - Fax:501-257-5099
Practice Address - Street 1:4300 W 7TH ST
Practice Address - Street 2:ROUTING 112
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5446
Practice Address - Country:US
Practice Address - Phone:501-257-7673
Practice Address - Fax:501-257-5099
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2018-01-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARP01523363L00000X
ARR32834163W00000X
ARA01758 ANP363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse