Healthcare Provider Details

I. General information

NPI: 1215070867
Provider Name (Legal Business Name): CHRISTIE BARNETT R.N., A.P.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 NEWARK ST #301
HOBOKEN NJ
07030-4548
US

IV. Provider business mailing address

25 PLYMOUTH AVE
MAPLEWOOD NJ
07040-2334
US

V. Phone/Fax

Practice location:
  • Phone: 201-650-3060
  • Fax: 201-656-4700
Mailing address:
  • Phone: 201-659-3060
  • Fax: 201-656-4700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number26NC05683100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: