Healthcare Provider Details

I. General information

NPI: 1851720510
Provider Name (Legal Business Name): HEIDI MARIE BARKER NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEIDI BARKER WHETTON RN

II. Dates (important events)

Enumeration Date: 11/04/2013
Last Update Date: 06/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 E WOODMEN RD
COLORADO SPRINGS CO
80923-2601
US

IV. Provider business mailing address

7183 S PARFET CT
LITTLETON CO
80127-5807
US

V. Phone/Fax

Practice location:
  • Phone: 719-571-3276
  • Fax: 719-571-3213
Mailing address:
  • Phone: 303-904-1459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAPN.0990855-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: