Provider Demographics
NPI:1093313348
Name:BARRATT, WONDER VANESSA (RN, BSN, MPH)
Entity Type:Individual
Prefix:
First Name:WONDER
Middle Name:VANESSA
Last Name:BARRATT
Suffix:
Gender:F
Credentials:RN, BSN, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 WOODLAWN TER
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06710-1930
Mailing Address - Country:US
Mailing Address - Phone:203-971-7188
Mailing Address - Fax:
Practice Address - Street 1:8 GLEN HILL RD
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-4985
Practice Address - Country:US
Practice Address - Phone:203-748-0506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT74930163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator