Barrett, Maury Glenn

Barrett, Maury Glenn is an individual health care provider with primary practice located at 201 W Guava St , Lady Lake FL 32159-1701. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Barrett, Maury Glenn can be contacted via phone (352) 391-5875.

Contact Information

Primary practice address
201 W Guava St Lady Lake FL 32159-1701
Phone: (352) 391-5875
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN 9298677 Florida

Profile Details

NPI number 1881735983
LBN Legal business name Barrett, Maury Glenn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated May 20th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881735983 NPPES
Florida MEDICAID 001689300

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