Provider Demographics
NPI:1063764397
Name:BARIMAH, LOUISE MCLEAN (ANP)
Entity type:Individual
Prefix:MRS
First Name:LOUISE
Middle Name:MCLEAN
Last Name:BARIMAH
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:LOUISE
Other - Middle Name:
Other - Last Name:MCLEAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:50 KENMORE RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-2104
Mailing Address - Country:US
Mailing Address - Phone:917-842-6517
Mailing Address - Fax:
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-7548
Practice Address - Fax:212-746-8966
Is Sole Proprietor?:No
Enumeration Date:2012-10-10
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF305673363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health