Provider Demographics
NPI:1982296703
Name:BARRETT, MARIA SUZANNE (NP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:SUZANNE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:28 WHITE BRIDGE PIKE STE 300
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-1492
Mailing Address - Country:US
Mailing Address - Phone:615-354-2460
Mailing Address - Fax:615-661-2425
Practice Address - Street 1:111 HIGHWAY 70 E STE E
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-2080
Practice Address - Country:US
Practice Address - Phone:615-446-3191
Practice Address - Fax:615-446-9972
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAG01210047208D00000X, 207QA0505X, 363LA2200X, 363L00000X
TN29076363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty