Provider Demographics
NPI:1578813069
Name:BARRETT, HEATHER V
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:V
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 1:125 PREMIER PL
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-4321
Mailing Address - Country:US
Mailing Address - Phone:540-709-1737
Mailing Address - Fax:
Practice Address - Street 1:125 PREMIER PL
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-4321
Practice Address - Country:US
Practice Address - Phone:540-709-1737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X, 374J00000X
VA0129000178176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No174H00000XOther Service ProvidersHealth Educator
No374J00000XNursing Service Related ProvidersDoula