Provider Demographics
NPI:1326556713
Name:BARNETT, MICHELE MARIE (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:MARIE
Last Name:BARNETT
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1623 PIRATES CV
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-2229
Mailing Address - Country:US
Mailing Address - Phone:727-580-0564
Mailing Address - Fax:
Practice Address - Street 1:117 DOWNTOWN PLZ
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:MN
Practice Address - Zip Code:56031-1726
Practice Address - Country:US
Practice Address - Phone:507-399-2149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-19
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN24675042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry