Individual
MONICA G BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,NP
Contact information
Practice address
1500 E MEDICAL CENTER DRIVE, ANN ARBOR, MI 48109-5364
(734) 936-4000
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
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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