Provider Demographics
NPI:1720857626
Name:BARROS, NATASHA CORINA
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:CORINA
Last Name:BARROS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 CENTRE ST UNIT 319
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-4184
Mailing Address - Country:US
Mailing Address - Phone:617-307-8079
Mailing Address - Fax:
Practice Address - Street 1:50 CENTRE ST UNIT 319
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-4184
Practice Address - Country:US
Practice Address - Phone:617-307-8079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-20
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula