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MS. BARBARA J. PROVO APNP
NPI 1992944300
Nurse Practitioner - Family in Milwaukee, WI

Active since February 09, 2009
9200 W WISCONSIN AVE, VASCULAR SURGERY, MILWAUKEE, WI 53226(414) 805-3902(414) 805-8514 Get Directions Write a Review

NPPES record last updated: August 3, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Barbara J. Provo Apnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. BARBARA J. PROVO APNP (NPI 1992944300) is an individual family provider in Milwaukee, Wisconsin, licensed in Wisconsin (3604) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1992944300
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. BARBARA J. PROVOCredential: APNP
Location Address9200 W WISCONSIN AVE, VASCULAR SURGERYMilwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin Ave, Vascular SurgeryMilwaukee, WI 53226-3522 · (414) 805-3902 · Fax (414) 805-8514
Phone(414) 805-3902
Fax(414) 805-8514
Sole ProprietorNo
Enumeration DateFebruary 9, 2009
Last NPPES UpdateAugust 3, 2012
✔ NPI 1992944300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 3604
9200 W WISCONSIN AVE, Milwaukee, WI 53226
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Other Names 1

Former Name (1)Ms. Barbara J. Goedderz

Other Identifiers 2

Medicaid1992944300WI
Medicare PIN736011375WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACY BLAIR WANDTKE HERRMANN APNP, CNM
Advanced Practice Midwife
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-4777
DR. ZACHARY SMITH DO
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-6830
DR. COLLEEN ANN CROWE M.D., M.P.H.
Emergency Medicine
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6469
ROBERTO MEJIAS APNP
Nurse Practitioner (Pediatrics)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6600
MRS. ANNE E B LAKATOS APN-BC, APNP, RN
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6850
MRS. AMANDA M MANDERS APNP
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6850
KATHLEEN A WATERHOUSE-SKIBICKI CRNA
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-5951
ANDREA L BEQUEST PA
Physician Assistant (Medical)
9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-0350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Barbara Provo's NPI number?

The NPI number for Barbara Provo is 1992944300. It was assigned to this individual provider in the NPPES registry on February 9, 2009. The provider is also known as Ms. Barbara J. Goedderz.

Where is Barbara Provo located?

Barbara Provo practices at 9200 W Wisconsin Ave Vascular Surgery, Milwaukee, WI 53226. The listed phone number is (414) 805-3902.

What is Barbara Provo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Barbara Provo was last updated on August 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.