Provider Demographics
NPI:1598223679
Name:IRIARTE BRITO, BARBARA MAYSSA (APRN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:MAYSSA
Last Name:IRIARTE BRITO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8515 SW 102ND PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3952
Mailing Address - Country:US
Mailing Address - Phone:786-252-4351
Mailing Address - Fax:
Practice Address - Street 1:1251 NW 36TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-5532
Practice Address - Country:US
Practice Address - Phone:305-929-6150
Practice Address - Fax:305-634-0600
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-07
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX141511363LF0000X
FLAPRN11001727363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty