Healthcare Provider Details

I. General information

NPI: 1568882736
Provider Name (Legal Business Name): BARBRA A NEVALA APRN, FNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2014
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 3RD ST W STE 103
ASHLAND WI
54806-1564
US

IV. Provider business mailing address

1601 9TH AVE W
ASHLAND WI
54806-3741
US

V. Phone/Fax

Practice location:
  • Phone: 715-292-3462
  • Fax: 715-251-6053
Mailing address:
  • Phone: 715-292-3462
  • Fax: 715-251-6053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5495-33
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5495-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: