=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265865265
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CAROLINE ANNE BARRETT CNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/13/2013
-----------------------------------------------------
Last Update Date | 07/31/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 210 W LAS CRUCES AVE
-----------------------------------------------------
City | LAS CRUCES
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 88005-1804
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 575-288-9994
-----------------------------------------------------
Fax | 575-525-3703
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1338 PARK DR
-----------------------------------------------------
City | LAS CRUCES
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 88005-2046
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-720-4374
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | CNP-02330
-----------------------------------------------------
License Number State | NM
-----------------------------------------------------