Healthcare Provider Details

I. General information

NPI: 1700612777
Provider Name (Legal Business Name): SABRY BARRERAS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1905 E HUEBBE PKWY
BELOIT WI
53511-1842
US

IV. Provider business mailing address

1969 W HART RD
BELOIT WI
53511-2298
US

V. Phone/Fax

Practice location:
  • Phone: 608-364-2400
  • Fax:
Mailing address:
  • Phone: 608-364-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209.035888
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number18477-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: