Provider Demographics
NPI:1801573027
Name:BARRERAS, LAURA ALICIA (CNA)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:ALICIA
Last Name:BARRERAS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:ALICIA
Other - Last Name:BURCZYK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1124 BLUEBIRD TRL
Mailing Address - Street 2:
Mailing Address - City:WAUNAKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53597-2615
Mailing Address - Country:US
Mailing Address - Phone:608-712-0229
Mailing Address - Fax:
Practice Address - Street 1:801 BRAXTON PL
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715-1415
Practice Address - Country:US
Practice Address - Phone:608-260-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIWI036259701697376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide