Healthcare Provider Details

I. General information

NPI: 1043350317
Provider Name (Legal Business Name): ANNE MARIE BARRETT MS RN CS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 08/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 ADAMS ST
MILTON MA
02186-3431
US

IV. Provider business mailing address

PO BOX 870185 71 ADAMS ST
MILTON VILLAGE MA
02187-0185
US

V. Phone/Fax

Practice location:
  • Phone: 617-429-5011
  • Fax: 617-506-8779
Mailing address:
  • Phone: 617-429-5011
  • Fax: 617-506-8779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN137948
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: