Provider Demographics
NPI:1336543289
Name:BARRITT, KATIE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:
Last Name:BARRITT
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 1:6701 N CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-6808
Mailing Address - Country:US
Mailing Address - Phone:443-849-4507
Mailing Address - Fax:
Practice Address - Street 1:4231 N WOODS TRL STE 100
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:MD
Practice Address - Zip Code:21074-3204
Practice Address - Country:US
Practice Address - Phone:410-374-0675
Practice Address - Fax:410-871-7967
Is Sole Proprietor?:No
Enumeration Date:2014-10-21
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR157512363LA2200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse