Individual
NICHOLAS RICHARD BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1551 E TANGERINE RD, ORO VALLEY, AZ 85755-6213
(520) 901-3500
(659) 235-6176
Mailing address
38935 ANN ARBOR RD, CREDENTIALING DEPT, LIVONIA, MI 48150-3397
(734) 632-0175
(866) 250-6385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10934
AZ
363A00000X
Physician Assistant
5601006350
MI
363A00000X
Physician Assistant
PA11042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12403275
CAQH
MI
Enumeration date
04/04/2012
Last updated
01/28/2025
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