MEDICARE: ALYSHA BARKER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1144033457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALYSHA BARKER LLC

Provider Business Mailing Address
First Line	:	2955 NEW CENTER PT # 1197
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80922-2806
Country	:	US
Telephone Number	:	719-824-4949
Fax Number	:	719-895-5960

Provider Business Practice Location Address
First Line	:	1665 KEATON LN
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-2707
Country	:	US
Telephone Number	:	719-824-4949
Fax Number	:	719-895-5960

Authorized Official
Title or Position	:	OWNER, PROVIDER
Name	:	ALYSHA BARKER
Credential	:	FNP-C
Telephone Number	:	719-824-4949

Provider Enumeration Date	:	01/30/2025
Last Update Date	:	01/30/2025

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