Provider Demographics
NPI:1609916550
Name:BARRETT, DIANNE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:DIANNE
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7505 SW 26TH CT
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-1002
Mailing Address - Country:US
Mailing Address - Phone:954-275-0575
Mailing Address - Fax:
Practice Address - Street 1:5661 NW 29TH ST
Practice Address - Street 2:PRN HEALTH SERVICES, INC.
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-1531
Practice Address - Country:US
Practice Address - Phone:954-590-2441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN1218862163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health