Provider Demographics
NPI:1679580534
Name:WALSH, BARBARA ANN (RN, MSN, CWOCN)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:WALSH
Suffix:
Gender:F
Credentials:RN, MSN, CWOCN
Other - Prefix:
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Mailing Address - Street 1:3509 N 92ND ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-2601
Mailing Address - Country:US
Mailing Address - Phone:414-464-5813
Mailing Address - Fax:414-382-5293
Practice Address - Street 1:5000 W NATIONAL AVE
Practice Address - Street 2:SCI 128
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53295-0001
Practice Address - Country:US
Practice Address - Phone:414-384-2000
Practice Address - Fax:414-382-5293
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI58073364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical