Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 004484 | CT |
Y | 363LA2200X | Nurse Practitioner - Adult Health | 004484 | CT |
NPI | 1013213552 |
---|---|
Provider Name | Christina M Barrows |
First Address | Middletown, CT 06457-3648 |
Second Address | Middletown, CT 06457-3648 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2011 |
Last Update Date | 06/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004484 | CT APRN LICENSE (01) | CT |