Healthcare Provider Details
I. General information
NPI: 1629076740
Provider Name (Legal Business Name): DAWN BARRIENT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/12/2005
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18367 PERKINS RD E
BATON ROUGE LA
70810-3917
US
IV. Provider business mailing address
18367 PERKINS RD E
BATON ROUGE LA
70810-3917
US
V. Phone/Fax
- Phone: 225-636-5437
- Fax: 225-636-5547
- Phone: 225-636-5437
- Fax: 225-636-5547
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 024104 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: