Provider Demographics
NPI:1922113091
Name:FABER, BARBARA R (APNP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:R
Last Name:FABER
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:RENEE
Other - Last Name:FABER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2251 N. SHORE DRIVE
Mailing Address - Street 2:
Mailing Address - City:RHINELANDER
Mailing Address - State:WI
Mailing Address - Zip Code:54501-8360
Mailing Address - Country:US
Mailing Address - Phone:715-361-4700
Mailing Address - Fax:
Practice Address - Street 1:2251 N. SHORE DRIVE
Practice Address - Street 2:STE 200
Practice Address - City:RHINELANDER
Practice Address - State:WI
Practice Address - Zip Code:54501-8360
Practice Address - Country:US
Practice Address - Phone:715-361-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI82072-030363L00000X
WI2105-033363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner