Individual
MARTHA BARCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1400 JEFFERSON RD, NORTHFIELD, MN 55057-3081
(507) 663-9000
Mailing address
570 PROFESSIONAL DR, NORTHFIELD, MN 55057-2756
(507) 301-3412
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8059
MN
Other
Enumeration date
03/05/2021
Last updated
03/30/2023
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