Barker, Mary Anne

Barker, Mary Anne is an individual health care provider with primary practice located at 200 Theda Clark Medical Plz Suite 240, Neenah WI 54956-2721. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Barker, Mary Anne can be contacted via phone (920) 725-2070.

Contact Information

Primary practice address
200 Theda Clark Medical Plz Suite 240 Neenah WI 54956-2721
Phone: (920) 725-2070
Fax: (920) 725-4549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 217-033 Wisconsin

Profile Details

NPI number 1902807639
LBN Legal business name Barker, Mary Anne
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jul 8th, 2007 - about 19 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 1902807639 NPPES
Wisconsin MEDICAID 43819800

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