Individual
MARISA D BARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2285 SEQUOIA DR, AURORA, IL 60506-6209
(630) 264-8840
Mailing address
2357 SEQUOIA DR, AURORA, IL 60506-6222
(630) 264-8840
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209006722
IL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
209006722
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04515143
BCBS#
IL
Enumeration date
08/31/2007
Last updated
01/11/2022
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