Provider Demographics
NPI:1891081923
Name:BARRETT, REINA (MSN, FNP)
Entity Type:Individual
Prefix:
First Name:REINA
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:REINA
Other - Middle Name:
Other - Last Name:BARRETT-BAAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN-FNP
Mailing Address - Street 1:29 PYE LN
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-3609
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:900 ROUTE 376
Practice Address - Street 2:SUITE H
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-6494
Practice Address - Country:US
Practice Address - Phone:845-204-9258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF336093-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily