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Individual
EILEEN DALE BARRY
Active
Individual
EILEEN DALE BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
045181-23-08
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035272
BC/BS
ME
01
—
202417
CIGNA
NH
05
—
225470000
—
ME
05
—
30340450
—
NH
01
—
353653
MAGELLAN
NH
01
—
355544
TUFTS
NH
01
—
4003298Y0NH01
ANTHEM BC/BS
NH
Enumeration date
08/30/2006
Last updated
11/20/2012
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