Provider Demographics
NPI:1215533682
Name:BARRETT, ALEXANDRA ARIELLE (CNM)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:ARIELLE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1970 DAYTON RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:PA
Mailing Address - Zip Code:16222-5528
Mailing Address - Country:US
Mailing Address - Phone:724-954-8685
Mailing Address - Fax:
Practice Address - Street 1:100 HOSPITAL AVE
Practice Address - Street 2:
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-1440
Practice Address - Country:US
Practice Address - Phone:814-371-2200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-09
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW010605176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife