Provider Demographics
NPI:1316643620
Name:BARKER, ANITA ELLEN (DNP, EBP-C)
Entity type:Individual
Prefix:DR
First Name:ANITA
Middle Name:ELLEN
Last Name:BARKER
Suffix:
Gender:F
Credentials:DNP, EBP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 W 11TH ST
Mailing Address - Street 2:
Mailing Address - City:LARNED
Mailing Address - State:KS
Mailing Address - Zip Code:67550-2123
Mailing Address - Country:US
Mailing Address - Phone:620-285-1765
Mailing Address - Fax:
Practice Address - Street 1:224 W 11TH ST
Practice Address - Street 2:
Practice Address - City:LARNED
Practice Address - State:KS
Practice Address - Zip Code:67550-2123
Practice Address - Country:US
Practice Address - Phone:316-685-2221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS104533163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse