Individual
BARBARA J PAVLOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
801-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
392869763001
BCBS/COMPCARE
WI
01
—
43921900
RAILROAD MEDICARE
WI
01
—
7417471
AETNA
WI
Enumeration date
09/25/2006
Last updated
03/25/2013
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