NPI 1114091485 · live from the CMS NPI Registry
Amy Barker, NP
Nurse Practitioner, Pediatrics in Roanoke, VA. National Provider Identifier 1114091485, active.
NPI record
| NPI | 1114091485 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 4348 Electric Rd, Roanoke, VA 24018 |
| Practice phone | 540-769-0976 |
| Mailing address | 102 Highland Ave Se Ste 203, Roanoke, VA 24013 |
| Enumerated | November 20, 2006 |
| Last updated | November 2, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 0001195211 (VA) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 0024167143 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.