Provider Demographics
NPI:1346465093
Name:BARRETT, ANTOINETTE HOWARD (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:ANTOINETTE
Middle Name:HOWARD
Last Name:BARRETT
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13764 FRANCISCO DR
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-6602
Mailing Address - Country:US
Mailing Address - Phone:562-691-9652
Mailing Address - Fax:310-423-9595
Practice Address - Street 1:6500 WILSHIRE BLVD STE 1000
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-4930
Practice Address - Country:US
Practice Address - Phone:310-423-9584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAN402735363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics