Provider Demographics
NPI:1568642478
Name:BARKER, WENDY CHANTELLE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:CHANTELLE
Last Name:BARKER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13813 LAKEMONT CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-5085
Mailing Address - Country:US
Mailing Address - Phone:502-266-6521
Mailing Address - Fax:
Practice Address - Street 1:13813 LAKEMONT CT
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-5085
Practice Address - Country:US
Practice Address - Phone:502-468-9821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5393P363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health