Provider Demographics
NPI:1568882736
Name:NEVALA, BARBRA A (APRN, FNP, PMHNP)
Entity Type:Individual
Prefix:MS
First Name:BARBRA
Middle Name:A
Last Name:NEVALA
Suffix:
Gender:F
Credentials:APRN, FNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 532
Mailing Address - Street 2:
Mailing Address - City:WASHBURN
Mailing Address - State:WI
Mailing Address - Zip Code:54891-0532
Mailing Address - Country:US
Mailing Address - Phone:715-710-1610
Mailing Address - Fax:715-251-6053
Practice Address - Street 1:21 W OMAHA ST
Practice Address - Street 2:
Practice Address - City:WASHBURN
Practice Address - State:WI
Practice Address - Zip Code:54891-4557
Practice Address - Country:US
Practice Address - Phone:715-292-3462
Practice Address - Fax:715-251-6053
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-25
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5495-33363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily