Healthcare Provider Details

I. General information

NPI: 1699350736
Provider Name (Legal Business Name): FEMI BARRETT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2021
Last Update Date: 03/10/2021
Certification Date: 03/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 BEDFORD CT APT B
ALBANY GA
31721-6580
US

IV. Provider business mailing address

2222 BEDFORD CT APT B
ALBANY GA
31721-6580
US

V. Phone/Fax

Practice location:
  • Phone: 229-603-2465
  • Fax:
Mailing address:
  • Phone: 229-603-2465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN172928
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: