Healthcare Provider Details

I. General information

NPI: 1902447576
Provider Name (Legal Business Name): MARGARET GAYLE BARRETT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2019
Last Update Date: 10/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 DUNCAN DR
PROVIDENCE RI
02906-7003
US

IV. Provider business mailing address

528 N MAIN ST UNIT 4
PROVIDENCE RI
02904-5770
US

V. Phone/Fax

Practice location:
  • Phone: 401-383-5150
  • Fax:
Mailing address:
  • Phone: 401-274-7111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN43259
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: