Provider Demographics
NPI:1619057759
Name:BARRETT, BARBARA ELAINE (MSN, ARNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ELAINE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:MSN, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6151 MIRAMAR PKWY
Mailing Address - Street 2:SUITE 124
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-3970
Mailing Address - Country:US
Mailing Address - Phone:954-964-6967
Mailing Address - Fax:954-964-7572
Practice Address - Street 1:6151 MIRAMAR PKWY
Practice Address - Street 2:SUITE 124
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-3970
Practice Address - Country:US
Practice Address - Phone:954-964-6967
Practice Address - Fax:954-964-7572
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2675462363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL764610100Medicaid
FL764610100Medicaid
FLP83328Medicare UPIN