Provider Demographics
NPI:1861433948
Name:BARRETT, LORI LEE (APRN)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:LEE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:LORA
Other - Middle Name:LEE
Other - Last Name:BARRETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 9994
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69103-9994
Mailing Address - Country:US
Mailing Address - Phone:308-696-8342
Mailing Address - Fax:308-696-8349
Practice Address - Street 1:611 W FRANCIS ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101
Practice Address - Country:US
Practice Address - Phone:308-568-3500
Practice Address - Fax:308-568-3739
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110648363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEQ19187Medicare UPIN