Provider Demographics
NPI:1285924555
Name:BARNETTE, MARRE ELIZABETH (RN, MSN, CNS, COHC)
Entity type:Individual
Prefix:
First Name:MARRE
Middle Name:ELIZABETH
Last Name:BARNETTE
Suffix:
Gender:F
Credentials:RN, MSN, CNS, COHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6638 BRITTANY PL
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45044-9229
Mailing Address - Country:US
Mailing Address - Phone:513-470-9217
Mailing Address - Fax:513-641-0235
Practice Address - Street 1:6638 BRITTANY PL
Practice Address - Street 2:
Practice Address - City:LIBERTY TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:45044-9229
Practice Address - Country:US
Practice Address - Phone:513-470-9217
Practice Address - Fax:513-641-0235
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-07
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.308652163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3143646Medicaid