Healthcare Provider Details

I. General information

NPI: 1487721544
Provider Name (Legal Business Name): CYNTHIA ANNE BARFKNECHT R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 W MORELAND BLVD
WAUKESHA WI
53188-2462
US

IV. Provider business mailing address

615 W MORELAND BLVD
WAUKESHA WI
53188-2462
US

V. Phone/Fax

Practice location:
  • Phone: 262-896-8430
  • Fax: 262-970-6670
Mailing address:
  • Phone: 262-896-8430
  • Fax: 262-970-6670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number70687
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: