Provider Demographics
NPI:1639801145
Name:BARRETT, KRISTINA (DNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 N GEORGE MASON DR APT 2
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-2933
Mailing Address - Country:US
Mailing Address - Phone:410-349-6665
Mailing Address - Fax:
Practice Address - Street 1:1420 BEVERLY RD STE 380
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3730
Practice Address - Country:US
Practice Address - Phone:571-774-0965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024184550363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1073554713OtherNON-MEDICARE