Provider Demographics
NPI:1215070867
Name:BARNETT, CHRISTIE (RN, APN)
Entity type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:
Last Name:BARNETT
Suffix:
Gender:F
Credentials:RN, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 PLYMOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-2334
Mailing Address - Country:US
Mailing Address - Phone:201-659-3060
Mailing Address - Fax:201-656-4700
Practice Address - Street 1:51 NEWARK ST
Practice Address - Street 2:#301
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-4548
Practice Address - Country:US
Practice Address - Phone:201-650-3060
Practice Address - Fax:201-656-4700
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC05683100163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health