Provider Demographics
NPI:1437427234
Name:BARRETT, ANDREA LEE
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:LEE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3540 E 31ST ST STE 3
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-1526
Mailing Address - Country:US
Mailing Address - Phone:918-740-8378
Mailing Address - Fax:918-749-8388
Practice Address - Street 1:3540 E 31ST ST STE 3
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-1526
Practice Address - Country:US
Practice Address - Phone:918-749-8378
Practice Address - Fax:918-749-8388
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator