Provider Demographics
NPI:1740606391
Name:BARRETTO, RHODORA (APN-BC)
Entity type:Individual
Prefix:MRS
First Name:RHODORA
Middle Name:
Last Name:BARRETTO
Suffix:
Gender:F
Credentials:APN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 BEAVERSON BLVD
Mailing Address - Street 2:SUITE 6B
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-7812
Mailing Address - Country:US
Mailing Address - Phone:732-262-0222
Mailing Address - Fax:732-262-0555
Practice Address - Street 1:35 BEAVERSON BLVD
Practice Address - Street 2:SUITE 6B
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-7812
Practice Address - Country:US
Practice Address - Phone:732-262-0222
Practice Address - Fax:732-262-0555
Is Sole Proprietor?:No
Enumeration Date:2014-03-06
Last Update Date:2014-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00465000363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology