Provider Demographics
NPI:1588448062
Name:BARRE, JULIA ANN (RN)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ANN
Last Name:BARRE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1630 SCOTCH PINE LN
Mailing Address - Street 2:
Mailing Address - City:TEGA CAY
Mailing Address - State:SC
Mailing Address - Zip Code:29708-8459
Mailing Address - Country:US
Mailing Address - Phone:570-690-3103
Mailing Address - Fax:
Practice Address - Street 1:1630 SCOTCH PINE LN
Practice Address - Street 2:
Practice Address - City:TEGA CAY
Practice Address - State:SC
Practice Address - Zip Code:29708-8459
Practice Address - Country:US
Practice Address - Phone:570-690-3103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC253358163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse