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NPI Code Detail

MEDICARE: MRS. ERICA BLODGETT BARHAM DNP, CRNP, AGNP-C

MEDICARE:  MRS. ERICA BLODGETT BARHAM  DNP, CRNP, AGNP-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
1363L00000XNurse Practitioner1-178890AL

General Provider Information

NPI Number : 1366185274
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ERICA BLODGETT BARHAM DNP, CRNP, AGNP-C
Provider Business Mailing Address
First Line : 1231 GUNTER AVE
Second Line :
City : GUNTERSVILLE
State : AL
Zip : 35976-1841
Country : US
Telephone Number : 256-582-1066
Fax Number :
Provider Business Practice Location Address
First Line : 1231 GUNTER AVE
Second Line :
City : GUNTERSVILLE
State : AL
Zip : 35976-1841
Country : US
Telephone Number : 256-582-1066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2022
Last Update Date : 02/10/2025

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Directions to “ MRS. ERICA BLODGETT BARHAM DNP, CRNP, AGNP-C” Practice Location

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