Provider Demographics
NPI:1689238974
Name:BARBETTA, HILLARY KRAEMER
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:KRAEMER
Last Name:BARBETTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 PALM PLACE LN APT 129
Mailing Address - Street 2:
Mailing Address - City:TAMPA PALMS
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2657
Mailing Address - Country:US
Mailing Address - Phone:952-250-4212
Mailing Address - Fax:
Practice Address - Street 1:6001 PALM PLACE LN APT 129
Practice Address - Street 2:
Practice Address - City:TAMPA PALMS
Practice Address - State:FL
Practice Address - Zip Code:33647-2657
Practice Address - Country:US
Practice Address - Phone:952-250-4212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-23
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program