Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 28824524A | IN |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 71011160A | IN |
NPI | 1477132819 |
---|---|
Provider Name | Ms. Allena L Barrett |
First Address | Indianapolis, IN 46256-3307 |
Second Address | Indianapolis, IN 46256-3307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2021 |
Last Update Date | 02/06/2021 |