# BARRETT CLINIC PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215340096
- **Authorized official:** MR. MITCHELL LEE BARRETT APRN (CEO/OWNER/FOUNDER)
- **Authorized official phone:** (402) 991-9500

## Contact information

- **Practice address:** 8074 S 84TH ST, LA VISTA, NE 68128-3303
- **Practice address phone:** (402) 991-9500
- **Practice address fax:** (402) 991-9564
- **Mailing address:** 8074 S 84TH ST, LA VISTA, NE 68128-3303
- **Mailing address phone:** (402) 991-9500
- **Mailing address fax:** (402) 991-9564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2014
- **Last updated:** 11/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10026518601 | — | NE |
| 01 | — | 110993 | LICENSE | NE |