Individual
MICHELLE ANNA BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6000 E STATE ST STE 1, ROCKFORD, IL 61108-2521
(815) 397-3691
Mailing address
6000 E STATE ST STE 1, ROCKFORD, IL 61108-2521
(815) 397-3691
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.019247
IL
Other
Enumeration date
04/17/2019
Last updated
06/11/2019
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