Provider Demographics
NPI:1770140501
Name:BARRETT, ELISABETH RACHEL (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ELISABETH
Middle Name:RACHEL
Last Name:BARRETT
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:ELISABETH
Other - Middle Name:
Other - Last Name:SEARS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2334 W VAN BUREN ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-2979
Mailing Address - Country:US
Mailing Address - Phone:312-942-9176
Mailing Address - Fax:312-243-3235
Practice Address - Street 1:2334 W VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-2979
Practice Address - Country:US
Practice Address - Phone:312-942-9176
Practice Address - Fax:312-243-3235
Is Sole Proprietor?:No
Enumeration Date:2019-05-28
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.019220363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily