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Individual
MONICA G BARRY
Active
Individual
MONICA G BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704211851
MI
363LA2200X
Adult Health Nurse Practitioner
4704211851
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P33590
MEDICARE GROUP PIN
—
01
—
MB211851
BCBS STATE LICENSE
MI
01
—
P33590012
MEDICARE IND PIN
—
Enumeration date
05/09/2008
Last updated
08/11/2016
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