Individual
DANTE BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(843) 751-3316
Mailing address
206 KIRKSTONE RD, IRMO, SC 29063-2310
(843) 751-3316
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
249482
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5016146
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
249482
SOUTH CAROLINA BOARD OF NURSING
SC
01
—
5016146
NORTH CAROLINA BOARD OF NURSING
NC
Enumeration date
11/27/2019
Last updated
04/17/2023
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