Healthcare Provider Details

I. General information

NPI: 1588618359
Provider Name (Legal Business Name): BARBARA K BURKLE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA K BRUGGEMANN

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 S HACKETT RD
WATERLOO IA
50701-3500
US

IV. Provider business mailing address

PO BOX 2758
WATERLOO IA
50704-2758
US

V. Phone/Fax

Practice location:
  • Phone: 319-234-5990
  • Fax: 319-234-5994
Mailing address:
  • Phone: 319-235-5390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA089108
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberA089108
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: