Healthcare Provider Details

I. General information

NPI: 1013608728
Provider Name (Legal Business Name): ERIN ELIZABETH BARNETT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S LANDMARK AVE
BLOOMINGTON IN
47403-3239
US

IV. Provider business mailing address

4011 S FALCON DR
BLOOMINGTON IN
47403-8907
US

V. Phone/Fax

Practice location:
  • Phone: 812-355-6900
  • Fax:
Mailing address:
  • Phone: 317-287-9856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71013907A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number71013907A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: