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NPI Code Detail

MEDICARE: MS. MAXINE A BARRETT ANP

MEDICARE: MS. MAXINE A BARRETT ANP
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
1363LA2200XAdult Health Nurse PractitionerF301582-1NY

General Provider Information

NPI Number : 1588875108
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MAXINE A BARRETT ANP
Provider Business Mailing Address
First Line : 198 MATLOOK PL
Second Line :
City : SOMERSET
State : NJ
Zip : 08873-6451
Country : US
Telephone Number : 732-873-0801
Fax Number : 212-263-8434
Provider Business Practice Location Address
First Line : 560 1ST AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10016-6402
Country : US
Telephone Number : 212-263-8562
Fax Number : 212-263-8434
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2007
Last Update Date : 08/09/2022

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