Individual
ANTHONY SHANE BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
315 BRADY MILL RD, ANNA, IL 62906-2306
(618) 833-6343
(618) 833-3345
Mailing address
315 BRADY MILL RD, ANNA, IL 62906-2306
(618) 833-6343
(618) 833-3345
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
041393474
IL
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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