Healthcare Provider Details

I. General information

NPI: 1114462751
Provider Name (Legal Business Name): ALMA ROSA BARRETO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2017
Last Update Date: 04/10/2020
Certification Date: 04/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 AVONWOOD RD APT C9
AVON CT
06001-2051
US

IV. Provider business mailing address

401 W THAMES ST BLDG 301
NORWICH CT
06360-7155
US

V. Phone/Fax

Practice location:
  • Phone: 203-559-6525
  • Fax:
Mailing address:
  • Phone: 860-859-4674
  • Fax: 860-859-4797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number6900
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number6900
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number6900
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: