Provider Demographics
NPI:1285771295
Name:BARRETT, NANCY LEE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:LEE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:LEE
Other - Last Name:COFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP-BC
Mailing Address - Street 1:219 JARED TYLER RD
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:KY
Mailing Address - Zip Code:42141-3539
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:112 SARTIN DR
Practice Address - Street 2:
Practice Address - City:EDMONTON
Practice Address - State:KY
Practice Address - Zip Code:42129
Practice Address - Country:US
Practice Address - Phone:270-432-4951
Practice Address - Fax:270-432-5054
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3995363LP0808X
KY3004520363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3995OtherSTATE LICENSE NUMBER
KYMB1466449OtherDEA
KYQ39053Medicare UPIN
KY572410Medicare ID - Type Unspecified
KY570710Medicare ID - Type Unspecified
KY570610Medicare ID - Type Unspecified
KY0570913Medicare PIN
KYMB1466449OtherDEA