Individual provider · NPI-1

Deloris G Barrett, ARNP

Nurse Practitioner · Daytona Beach, FL

NPI number1285691550
StatusActive
Last updated in NPPESDec 21, 2012

Details

NPI
1285691550
Entity type
Individual (NPI-1)
Name
Deloris G Barrett
Credential
ARNP
Sex
Female
Sole proprietor
No
Enumeration date
Apr 28, 2006
Last updated
Dec 21, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerARNP1609182FLYes

Other names

  • Gertrude Deloris Bernard Barrett (Former Name)

Practice location

1845 Holsonback Dr
Daytona Beach, FL 32117-5114

Phone 386-274-0790 · Fax 386-274-0800

Mailing address

1845 Holsonback Dr
Daytona Beach, FL 32117-5114

Phone 386-274-0790 · Fax 386-274-0800

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