Provider Demographics
NPI:1730503954
Name:BARKER, BRIANNA (APNP)
Entity type:Individual
Prefix:MRS
First Name:BRIANNA
Middle Name:
Last Name:BARKER
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:MS
Other - First Name:BRIANNA
Other - Middle Name:
Other - Last Name:NOAKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30740 WILD GOOSE LN
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WI
Mailing Address - Zip Code:53105-8907
Mailing Address - Country:US
Mailing Address - Phone:262-492-4515
Mailing Address - Fax:
Practice Address - Street 1:30740 WILD GOOSE LN
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WI
Practice Address - Zip Code:53105-8907
Practice Address - Country:US
Practice Address - Phone:262-492-4515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5515-33363L00000X
WI5515363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner