Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | F337239-1 | NY |
Y | 363LP2300X | Nurse Practitioner - Primary Care | F337239-1 | NY |
NPI | 1073952651 |
---|---|
Provider Name | Melissa Natalie Barnett |
First Address | Brooklyn, NY 11234-1202 |
Second Address | Santa Ana, CA 92705-5611 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2013 |
Last Update Date | 21/11/2016 |