Provider Demographics
NPI:1780815514
Name:BARRETTA, DONNA M (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:M
Last Name:BARRETTA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 WASHINGTON ST
Mailing Address - Street 2:PO BOX E
Mailing Address - City:CONNEAUTVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16406-7138
Mailing Address - Country:US
Mailing Address - Phone:814-373-2276
Mailing Address - Fax:814-587-2918
Practice Address - Street 1:906 WASHINGTON ST
Practice Address - Street 2:PO BOX E
Practice Address - City:CONNEAUTVILLE
Practice Address - State:PA
Practice Address - Zip Code:16406-7138
Practice Address - Country:US
Practice Address - Phone:814-373-2276
Practice Address - Fax:814-587-2918
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010199363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily