MIRIAN TORBADO BARRIENTOS NP NPI 1063964245

NPI Information

NPI: 1063964245
Provider Name: MIRIAN TORBADO BARRIENTOS, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: EVANS MEDICAL FOUNDATION INC

PECOS Registration: Yes

Address:
732 HARRISON AVENUE
PRESTON, 2ND FLOOR
BOSTON, MA
ZIP 02118
Phone: (617) 638-7470
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Mirian Torbado Barrientos, NP is a gerontology nurse practitioner in Boston, MA with 8 years of experience. Mirian Torbado Barrientos, NP NPI is 1063964245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

732 HARRISON AVENUE
PRESTON, 2ND FLOOR
BOSTON, MA
ZIP 02118-309
Phone: (617) 638-7470
Fax: (617) 638-7449

The NPI 1063964245 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/3/2016 and was last updated on 2/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	RN2299124	MASSACHUSETTS	No
2	363LG0600X	Nurse Practitioner	Gerontology	RN2299124	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110121514A	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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