Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | ARNP9170223 | FL |
NPI | 1073033767 |
---|---|
Provider Name | Mary Rebecca Barrett |
First Address | Gainesville, FL 32653-1063 |
Second Address | Tallahassee, FL 32308-4402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2017 |
Last Update Date | 30/07/2019 |