Healthcare Provider Details

I. General information

NPI: 1891081923
Provider Name (Legal Business Name): REINA BARRETT MSN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REINA BARRETT-BAAS MSN-FNP

II. Dates (important events)

Enumeration Date: 06/27/2011
Last Update Date: 08/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 ROUTE 376 SUITE H
WAPPINGERS FALLS NY
12590-6494
US

IV. Provider business mailing address

29 PYE LN
WAPPINGERS FALLS NY
12590-3609
US

V. Phone/Fax

Practice location:
  • Phone: 845-204-9258
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF336093-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: