Provider Demographics
NPI:1124662838
Name:BARKMAN, NADINE ANTONIA (FNP)
Entity type:Individual
Prefix:
First Name:NADINE
Middle Name:ANTONIA
Last Name:BARKMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:NADINE
Other - Middle Name:ANTONIA
Other - Last Name:TIPTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2900 E 16TH AVE APT 253
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1682
Mailing Address - Country:US
Mailing Address - Phone:817-888-2989
Mailing Address - Fax:
Practice Address - Street 1:2900 E 16TH AVE APT 253
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1682
Practice Address - Country:US
Practice Address - Phone:817-888-2989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-05
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1664946163W00000X
CORXN.0104402-NP363LF0000X
COAPN.0995120-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse