Doctor Name: | MRS. MARY JO BARRETO |
NPI Number: | 1033103395 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-BC |
License Number: | F89 |
Business Practice Address: | Winthrop University Health Services Rock Hill, SC - 297330001 |
Business Phone Number: | 8033232206 |
Business Fax Number: | 8033233332 |
Mailing Address: | 1101 Palmyra Dr, TEGA CAY |
State: | SC |
Postal Code: | 297088568 |
Phone Number: | 8035472250 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2005 |
NPI Last Update Date: | 12/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F89 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |