Provider Demographics
NPI:1437490703
Name:BARUT, MARIA EDITHA SANTOS (APN)
Entity Type:Individual
Prefix:
First Name:MARIA EDITHA
Middle Name:SANTOS
Last Name:BARUT
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1397 WINTERS RUN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-7939
Mailing Address - Country:US
Mailing Address - Phone:919-274-8538
Mailing Address - Fax:
Practice Address - Street 1:1321 S RAINBOW BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-9066
Practice Address - Country:US
Practice Address - Phone:702-476-2287
Practice Address - Fax:702-476-2035
Is Sole Proprietor?:No
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN001500363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care