Individual
MRS. CYNTHIA RENNE' BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1231 PERRY HILL ROAD, SUITE C, MONTGOMERY, AL 36109
(334) 239-4957
(334) 593-1702
Mailing address
PO BOX 8021, MONTGOMERY, AL 36110-0021
(334) 239-4957
(334) 593-1702
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-117172
AL
363LF0000X
Family Nurse Practitioner
1-117172
AL
363LP2300X
Primary Care Nurse Practitioner
1-117172
AL
363LX0106X
Occupational Health Nurse Practitioner
1-117172
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-117172
LICENSE #
AL
01
—
2016015252
ANCC-CRNP
—
01
—
5025477818
NRCME
AL
Enumeration date
09/23/2016
Last updated
04/05/2021
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