Individual
MRS. ANNETTE BARRAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NPC
Contact information
Practice address
20 W RIDGEWOOD AVE # 7, RIDGEWOOD, NJ 07450-3117
(201) 251-2900
(201) 652-2782
Mailing address
20 GATHERING RD, PINE BROOK, NJ 07058-9568
(973) 396-2522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NN102606
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7758308
—
NJ
01
—
P00173885
RAILROAD MEDICARE
NJ
Enumeration date
06/14/2006
Last updated
07/08/2007
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