Provider Demographics
NPI:1427540319
Name:BARRETT, JULIANNE (DO)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 468
Mailing Address - Street 2:
Mailing Address - City:SKOWHEGAN
Mailing Address - State:ME
Mailing Address - Zip Code:04976-0468
Mailing Address - Country:US
Mailing Address - Phone:207-858-8367
Mailing Address - Fax:
Practice Address - Street 1:87 MERCER RD
Practice Address - Street 2:
Practice Address - City:NORRIDGEWOCK
Practice Address - State:ME
Practice Address - Zip Code:04957-3168
Practice Address - Country:US
Practice Address - Phone:207-634-4366
Practice Address - Fax:207-634-4375
Is Sole Proprietor?:No
Enumeration Date:2018-06-05
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT018353207Q00000X
MEDO3243207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine