Provider Demographics
NPI:1609196708
Name:BARRETT, FLORETTE (LPN)
Entity Type:Individual
Prefix:
First Name:FLORETTE
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:297 LENOX RD
Mailing Address - Street 2:APT 1K
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-2272
Mailing Address - Country:US
Mailing Address - Phone:718-693-4181
Mailing Address - Fax:718-693-4181
Practice Address - Street 1:297 LENOX RD
Practice Address - Street 2:APT 1K
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-2272
Practice Address - Country:US
Practice Address - Phone:718-693-4181
Practice Address - Fax:718-693-4181
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-11
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY220469164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse