Individual
MACKENZIE BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, PMHNP-BC
Contact information
Practice address
4030 TREFFERT DRIVE, OSHKOSH, WI 54901
(920) 235-4910
(920) 237-2051
Mailing address
PO BOX 9, WINNEBAGO, WI 54985-0009
(920) 235-4910
(920) 237-2051
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14367-33
WI
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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