Provider Demographics
NPI:1982349361
Name:BARBARO, ANN (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:BARBARO
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2351 SILVERNAIL RD
Mailing Address - Street 2:
Mailing Address - City:PEWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53072-5402
Mailing Address - Country:US
Mailing Address - Phone:262-260-9000
Mailing Address - Fax:262-260-9109
Practice Address - Street 1:2351 SILVERNAIL RD
Practice Address - Street 2:
Practice Address - City:PEWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53072-5402
Practice Address - Country:US
Practice Address - Phone:262-260-9000
Practice Address - Fax:262-260-9109
Is Sole Proprietor?:No
Enumeration Date:2022-05-01
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN75614163W00000X
IAG168698363LP0808X
AZ277513363LP0808X
WI12162-33363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
0OtherNONE