Provider Demographics
NPI:1902685084
Name:BARKER, DANIELLE BROOKE (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:BROOKE
Last Name:BARKER
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 GOOSE RUN RD
Mailing Address - Street 2:
Mailing Address - City:LESAGE
Mailing Address - State:WV
Mailing Address - Zip Code:25537-2237
Mailing Address - Country:US
Mailing Address - Phone:304-840-8376
Mailing Address - Fax:
Practice Address - Street 1:31 GOOSE RUN RD
Practice Address - Street 2:
Practice Address - City:LESAGE
Practice Address - State:WV
Practice Address - Zip Code:25537-2237
Practice Address - Country:US
Practice Address - Phone:304-840-8376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV117637363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily