Healthcare Provider Details

I. General information

NPI: 1568757979
Provider Name (Legal Business Name): RENEE DRURY BARRETT CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2011
Last Update Date: 05/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9970 MOUNTAIN VIEW DR SUITE 200
WEST MIFFLIN PA
15122-2474
US

IV. Provider business mailing address

100 PEASANT VILLAGE LN STE 100
BELLE VERNON PA
15012-4333
US

V. Phone/Fax

Practice location:
  • Phone: 412-653-3080
  • Fax: 412-650-8860
Mailing address:
  • Phone: 724-929-7800
  • Fax: 724-929-3229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberVP003026B
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: