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NPI Code Detail

MEDICARE: GINA MARIE BARLETTA M.S., P.A.-C.

MEDICARE: GINA MARIE BARLETTA M.S., P.A.-C.
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
1363A00000XPhysician Assistant1677TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16006673OTHERTNBCBS TN PAAS
24339223OTHERTNBCBS TN PA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245238476
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA MARIE BARLETTA M.S., P.A.-C.
Provider Business Mailing Address
First Line : PO BOX 306556
Second Line :
City : NASHVILLE
State : TN
Zip : 37230-6556
Country : US
Telephone Number : 615-329-2294
Fax Number : 615-695-1494
Provider Business Practice Location Address
First Line : 8 CITY BLVD STE 300
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-2560
Country : US
Telephone Number : 615-329-6600
Fax Number : 615-321-6226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 07/10/2025

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