Provider Demographics
NPI:1427048123
Name:ALBEE, BARBARA S (RNC BSN WHNP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:S
Last Name:ALBEE
Suffix:
Gender:F
Credentials:RNC BSN WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 SUMMERSET DR
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53406-3322
Mailing Address - Country:US
Mailing Address - Phone:262-886-5528
Mailing Address - Fax:262-898-1772
Practice Address - Street 1:311 SUMMERSET DR
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53406-3322
Practice Address - Country:US
Practice Address - Phone:262-886-5528
Practice Address - Fax:262-898-1772
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI53040-030363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43948800Medicaid