Provider Demographics
NPI:1588618359
Name:BURKLE, BARBARA K (ARNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:K
Last Name:BURKLE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:K
Other - Last Name:BRUGGEMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2758
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50704-2758
Mailing Address - Country:US
Mailing Address - Phone:319-235-5390
Mailing Address - Fax:319-235-5607
Practice Address - Street 1:1015 S HACKETT RD
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-3500
Practice Address - Country:US
Practice Address - Phone:319-234-5990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA089108363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0450148Medicaid
IA421417307J8OtherJOHN DEERE HEALTH CARE
IA37459OtherWELLMARK INS PLAN
IA0450148Medicaid
Q25738Medicare UPIN