Individual
AMY BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4348 ELECTRIC RD, ROANOKE, VA 24018-0720
(540) 769-0976
(540) 857-5393
Mailing address
102 HIGHLAND AVE SE STE 203, ROANOKE, VA 24013-2254
(540) 985-9835
(540) 985-4018
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001195211
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
0024167143
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010367841
—
VA
Enumeration date
11/20/2006
Last updated
11/02/2021
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