Healthcare Provider Details

I. General information

NPI: 1669450250
Provider Name (Legal Business Name): WENDY L BARKER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 N MADISON BLVD STE B
ROXBORO NC
27573-4573
US

IV. Provider business mailing address

4705 UNIVERSITY DR
DURHAM NC
27707-3489
US

V. Phone/Fax

Practice location:
  • Phone: 919-532-3700
  • Fax:
Mailing address:
  • Phone: 919-532-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201777
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024165788
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: