Individual
MARY ANN BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2248 GLEN EAGLE WAY, RICHMOND, IN 47374-7380
(765) 935-5600
Mailing address
2248 GLEN EAGLE WAY, RICHMOND, IN 47374-7380
(765) 935-5600
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71001483A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000681399
ANTHEM
—
05
—
100321640
—
IN
Enumeration date
04/30/2008
Last updated
04/26/2017
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