Provider Demographics
NPI:1588823074
Name:BARELA, ANNA HOLZKNECHT (RN, ARNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:HOLZKNECHT
Last Name:BARELA
Suffix:
Gender:F
Credentials:RN, ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4535 DRESSLER RD NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2545
Mailing Address - Country:US
Mailing Address - Phone:330-493-4443
Mailing Address - Fax:330-493-8677
Practice Address - Street 1:6161 SOUTH YALE AVENUE
Practice Address - Street 2:SAINT FRANCIS HOSPITAL, EMERGENCY DEPARTMENT
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136
Practice Address - Country:US
Practice Address - Phone:918-494-2200
Practice Address - Fax:918-494-6432
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13409363LF0000X
OK0094079363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK296940YNMVOtherPTAN