Healthcare Provider Details

I. General information

NPI: 1659664894
Provider Name (Legal Business Name): CADINE BARRETT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2011
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11330 WILDMEADOWS ST FL 2
WALDORF MD
20601-2684
US

IV. Provider business mailing address

11330 WILDMEADOWS ST
WALDORF MD
20601-2684
US

V. Phone/Fax

Practice location:
  • Phone: 646-420-5678
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR190436
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number615389
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF357243
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: