Individual
JUANITA D BACA BARRETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
BAC1-0437-1230
NJ
367A00000X
Advanced Practice Midwife
Primary
25ME00051700
NJ
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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