Provider Demographics
NPI:1447462130
Name:LOME, BARBARA ROSE (ACNP-BC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ROSE
Last Name:LOME
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SCRIPPS MERCY HOSPITAL- TRAUMA DEPT
Mailing Address - Street 2:4077 FIFTH AVENUE
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104
Mailing Address - Country:US
Mailing Address - Phone:619-260-7285
Mailing Address - Fax:619-298-3704
Practice Address - Street 1:SCRIPPS MERCY HOSPITAL- TRAUMA DEPT
Practice Address - Street 2:4077 FIFTH AVENUE
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104
Practice Address - Country:US
Practice Address - Phone:619-260-7285
Practice Address - Fax:619-298-3704
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP13766363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care