Provider Demographics
NPI:1437381498
Name:BARKER, TINA MARIE (DNP, FNP, AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:MARIE
Last Name:BARKER
Suffix:
Gender:F
Credentials:DNP, FNP, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:796 ELIZA CT
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59804-2000
Mailing Address - Country:US
Mailing Address - Phone:406-223-1043
Mailing Address - Fax:406-829-5603
Practice Address - Street 1:500 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802
Practice Address - Country:US
Practice Address - Phone:406-329-2736
Practice Address - Fax:406-829-0661
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-10
Last Update Date:2023-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-100471363LA2100X
MT27156363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care