Provider Demographics
NPI:1578590121
Name:BARATTA, NANCY P (ARNP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:P
Last Name:BARATTA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8803 TAMIAMI TRL E
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34113-3347
Mailing Address - Country:US
Mailing Address - Phone:239-732-1050
Mailing Address - Fax:239-732-1054
Practice Address - Street 1:8803 TAMIAMI TRL E
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34113-3347
Practice Address - Country:US
Practice Address - Phone:239-732-1050
Practice Address - Fax:239-732-1054
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2781502363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL304226000Medicaid
GA40916POtherBLUE CROSS
FLY0596OtherBLUE SHIELD
GA40916POtherBLUE CROSS