Individual
MICHAEL SHANE BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3701 E BROADWAY AVE, APACHE JUNCTION, AZ 85119-9301
(480) 677-7510
(480) 288-0532
Mailing address
2343 W MAIN ST APT 2009, MESA, AZ 85201-9006
(929) 363-8803
(480) 288-0532
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
274223
AZ
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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