Individual
ALICIA KATHERINE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
440 WOODWARD AVE, IRON MOUNTAIN, MI 49801-4631
(906) 776-9040
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704313591
MI
363LF0000X
Family Nurse Practitioner
9351-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F05190203
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
05/10/2019
Last updated
06/22/2020
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