MEDICARE: ANNIE J BARLOW PA-C

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	363A00000X	Physician Assistant	11439	MN
2	363AM0700X	Medical Physician Assistant	0010-13257	NC
3	363AM0700X	Medical Physician Assistant	6661176	ID

General Provider Information

NPI Number	:	1346518370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNIE J BARLOW PA-C

Provider Business Mailing Address
First Line	:	6241 15TH AVE S
Second Line	:
City	:	RICHFIELD
State	:	MN
Zip	:	55423-1739
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 E 28TH ST STE 401
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-3723
Country	:	US
Telephone Number	:	612-863-0200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2011
Last Update Date	:	04/14/2026

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Directions to “ ANNIE J BARLOW PA-C” Practice Location

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