Healthcare Provider Details

I. General information

NPI: 1245251990
Provider Name (Legal Business Name): SHARI LYN BARRETT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 06/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 BELLEMEADE AVE SUITE 120
EVANSVILLE IN
47714-0102
US

IV. Provider business mailing address

3700 BELLEMEADE AVE SUITE 120
EVANSVILLE IN
47714-0102
US

V. Phone/Fax

Practice location:
  • Phone: 812-473-0200
  • Fax: 812-473-3640
Mailing address:
  • Phone: 812-473-0200
  • Fax: 812-473-3640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number01033182
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: