Provider Demographics
NPI:1780423509
Name:BARRETT, CATHERINE (CPM)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 AIRSTRIP RD # 166
Mailing Address - Street 2:
Mailing Address - City:KILL DEVIL HILLS
Mailing Address - State:NC
Mailing Address - Zip Code:27948-8134
Mailing Address - Country:US
Mailing Address - Phone:703-864-8391
Mailing Address - Fax:
Practice Address - Street 1:101 AIRSTRIP RD # 166
Practice Address - Street 2:
Practice Address - City:KILL DEVIL HILLS
Practice Address - State:NC
Practice Address - Zip Code:27948-8134
Practice Address - Country:US
Practice Address - Phone:703-864-8391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DECW-0010012176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife