Doctor Name: | MRS. KRISTEN L. BARLETTA |
NPI Number: | 1033404298 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMHNP-BC |
License Number: | RN2264507 |
Business Practice Address: | 125 Church St Suite 90-104 Pembroke, MA - 023591929 |
Business Phone Number: | 7817546545 |
Business Fax Number: | 7815360016 |
Mailing Address: | 105 Webster St, Ste 8 HANOVER |
State: | MA |
Postal Code: | 023391227 |
Phone Number: | 7817546545 |
Fax Number: | 7815360016 |
NPI Enumeration Date: | 06/16/2011 |
NPI Last Update Date: | 05/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | RN2264507 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |