MEDICARE: ISATU BARRIE RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	584035	NY

General Provider Information

NPI Number	:	1093021354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISATU BARRIE RN

Provider Business Mailing Address
First Line	:	1400 BROADFILED BLVD, SUITE 200
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77084
Country	:	US
Telephone Number	:	866-551-9700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 BROADFILED BLVD, SUITE 200
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77084
Country	:	US
Telephone Number	:	866-551-9700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2010
Last Update Date	:	01/29/2026

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