Provider Demographics
NPI:1043350317
Name:BARRETT, ANNE MARIE (MS RN CS)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:MARIE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:MS RN CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 870185
Mailing Address - Street 2:71 ADAMS ST
Mailing Address - City:MILTON VILLAGE
Mailing Address - State:MA
Mailing Address - Zip Code:02187-0185
Mailing Address - Country:US
Mailing Address - Phone:617-429-5011
Mailing Address - Fax:617-506-8779
Practice Address - Street 1:71 ADAMS ST
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:MA
Practice Address - Zip Code:02186-3431
Practice Address - Country:US
Practice Address - Phone:617-429-5011
Practice Address - Fax:617-506-8779
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN137948163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANS039501OtherPTAN