Provider Demographics
NPI:1235248980
Name:BARRETO, ZAIDA IGNACIO (RN, APNC)
Entity Type:Individual
Prefix:
First Name:ZAIDA
Middle Name:IGNACIO
Last Name:BARRETO
Suffix:
Gender:F
Credentials:RN, APNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 ACKERMAN PL
Mailing Address - Street 2:
Mailing Address - City:POMPTON LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07442-2003
Mailing Address - Country:US
Mailing Address - Phone:973-831-0864
Mailing Address - Fax:
Practice Address - Street 1:305 OLDHAM RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2208
Practice Address - Country:US
Practice Address - Phone:973-904-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN08728900363LA2200X
NJ26NC08728900364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology