Rebecca Barnes, APNP

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Dousman, WI

NPI 1780121699 · NPPES record last updated Jan 30, 2017

Key facts

NPI
1780121699
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
7482-33 (WI)
Practice address
W350S1401 Waterville Rd
Dousman, WI 53118-9020
Phone
(262) 965-9428
NPI assigned
Jan 30, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7482-33WIMDPsychiatric/Mental Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7482-33 WI Yes

Addresses

Primary practice location

W350S1401 Waterville Rd
Dousman, WI 53118-9020

Mailing address

W350S1401 Waterville Rd
Dousman, WI 53118-9020
Phone (262) 965-9428

Other providers in Dousman, WI

All providers in Dousman, WI · Psychiatric/Mental Health Nurse Practitioner in Wisconsin

Sources for this page

Verify at the official NPI Registry.