Provider Demographics
NPI:1811948235
Name:BARNETT, ANNE E (PA)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:E
Last Name:BARNETT
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2247 BRANSON RD
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53575-1936
Mailing Address - Country:US
Mailing Address - Phone:608-332-9419
Mailing Address - Fax:
Practice Address - Street 1:2247 BRANSON RD
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53575-1936
Practice Address - Country:US
Practice Address - Phone:608-332-9419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1644363A00000X
CA65707363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant