Provider Demographics
NPI:1386303956
Name:BARRON, MAQUELA CHANEL (APRN, FNP)
Entity type:Individual
Prefix:
First Name:MAQUELA
Middle Name:CHANEL
Last Name:BARRON
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-2506
Mailing Address - Country:US
Mailing Address - Phone:978-572-5500
Mailing Address - Fax:
Practice Address - Street 1:2 MARKET ST
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-2506
Practice Address - Country:US
Practice Address - Phone:978-572-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-10
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH076516-21163W00000X
NH076516-23363LF0000X
MARN2350025363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse