Barrett, Deloris G

Barrett, Deloris G is an individual health care provider with primary practice located at 1845 Holsonback Dr , Daytona Beach FL 32117-5114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Barrett, Deloris G can be contacted via phone (386) 274-0790.

Contact Information

Primary practice address
1845 Holsonback Dr Daytona Beach FL 32117-5114
Phone: (386) 274-0790
Fax: (386) 274-0800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1609182 Florida

Profile Details

NPI number 1285691550
LBN Legal business name Barrett, Deloris G
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Dec 21st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285691550 NPPES
Florida MEDICAID 033015900

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