Provider Demographics
NPI:1124421862
Name:BARRETO, KERRIANNE O'BRIEN (NP-C)
Entity type:Individual
Prefix:MRS
First Name:KERRIANNE
Middle Name:O'BRIEN
Last Name:BARRETO
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:KERRIANNE
Other - Middle Name:O'BRIEN
Other - Last Name:HANLON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:416 BELMONT STREET
Mailing Address - Street 2:WORCESTER INTERNAL MEDICINE
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-1086
Mailing Address - Country:US
Mailing Address - Phone:508-756-6609
Mailing Address - Fax:
Practice Address - Street 1:416 BELMONT STREET
Practice Address - Street 2:WORCESTER INTERNAL MEDICINE
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-1086
Practice Address - Country:US
Practice Address - Phone:508-756-6609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-08
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN283028363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care