Individual ProviderMary Anne BarkerNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address200 Theda Clark Medical Plz, Suite 240, Neenah, WI 54956-2721(920) 725-2070PECOS EnrollmentBased on the most recent information from CMS, provider Mary Anne Barker does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1902807639Provider TypeIndividualFull NameBarker, Mary AnneCredentialFNP-CGenderFemaleSole ProprietorNoEnumeration Date8/3/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address200 Theda Clark Medical Plz, Suite 240, Neenah, WI 54956-2721Phone(920) 725-2070Fax(920) 725-4549Mailing LocationMailing Address200 Theda Clark Medical Plz, Suite 240, Neenah, WI 54956-2721Phone(920) 725-2070Fax(920) 725-4549Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense217-033WisconsinProvider IdentifiersIDDescriptionIssuerID43819800DescriptionMedicaidIssuerUnlistedWisconsin