Individual
MS. BARBARA ROSE DENICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3514 BROADWAY, RIVIERA BEACH, FL 33404-2332
(561) 223-4081
(877) 860-2271
Mailing address
200 OCEANGATE, SUITE 100, LONG BEACH, CA 90802-4317
(562) 499-6191
(877) 860-2271
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3214632
FL
363LF0000X
Family Nurse Practitioner
3214632
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008698800
—
FL
01
—
P01422787-EFF5/27/13
RAILROAD MEDICARE-DV3514-RB, WPB
FL
Enumeration date
08/04/2010
Last updated
04/16/2015
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