Provider Demographics
NPI:1740740844
Name:BARRIOS, ANAISA (MSN, ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ANAISA
Middle Name:
Last Name:BARRIOS
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 1:13721 SW 84TH ST APT A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4023
Mailing Address - Country:US
Mailing Address - Phone:786-246-1820
Mailing Address - Fax:
Practice Address - Street 1:13721 SW 84TH ST APT A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4023
Practice Address - Country:US
Practice Address - Phone:786-246-1820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-23
Last Update Date:2019-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9255942363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner