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General NPI Number Information
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NPI Number | 1568882736
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Entity Type | Individual
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Provider Name | BARBRA A NEVALA APRN, FNP, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 04/25/2014
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 21 W OMAHA ST
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City | WASHBURN
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State | WI
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Zip | 54891-4557
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Country | US
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Telephone | 715-710-1610
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Fax | 715-251-6053
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Provider Business Mailing Address
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Address Line | 1601 9TH AVE W
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City | ASHLAND
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State | WI
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Zip | 54806-3741
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Country | US
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Telephone | 715-292-3462
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Fax | 715-251-6053
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5495-33
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5495-33
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License Number State | WI
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