Provider Demographics
NPI:1073859856
Name:BARRY, ANN LORRAINE (RN)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:LORRAINE
Last Name:BARRY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 KINGS WAY
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-2635
Mailing Address - Country:US
Mailing Address - Phone:781-470-9058
Mailing Address - Fax:
Practice Address - Street 1:54 KINGS WAY
Practice Address - Street 2:
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-2635
Practice Address - Country:US
Practice Address - Phone:781-470-9058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-23
Last Update Date:2012-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN138655163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management