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Individual

MRS. MONEAH SAMANTHA BARRACKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
1149 MYRTLE AVE, BROOKLYN, NY 11206-6007
(718) 574-1928
(718) 919-2374
Mailing address
3200 BENSALEM BLVD, BENSALEM, PA 19020-1956
(215) 752-2370

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00507700
NJ
363LA2200X
Adult Health Nurse Practitioner
F306978-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
SP017568
PA
363LG0600X
Gerontology Nurse Practitioner
26NJ00507700
NJ

Other

Enumeration date
08/04/2014
Last updated
09/29/2020
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