Provider Demographics
NPI:1730706094
Name:BARFKNECHT, MELISSA LYNN (CNA, CERTIFIED DOULA)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:LYNN
Last Name:BARFKNECHT
Suffix:
Gender:F
Credentials:CNA, CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1728 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:WI
Mailing Address - Zip Code:54720-1647
Mailing Address - Country:US
Mailing Address - Phone:715-529-8780
Mailing Address - Fax:
Practice Address - Street 1:1728 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:WI
Practice Address - Zip Code:54720-1647
Practice Address - Country:US
Practice Address - Phone:715-529-8780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-01
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula