Basic Information
| Provider Information | |||||||||
| NPI: | 1386275006 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARNHILL-BLACKWELL | ||||||||
| FirstName: | ELIZABETH | ||||||||
| MiddleName: | PAIGE | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 101 CABARRUS AVE E | ||||||||
| Address2: | |||||||||
| City: | CONCORD | ||||||||
| State: | NC | ||||||||
| PostalCode: | 280253699 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8888497379 | ||||||||
| FaxNumber: | 8558577333 | ||||||||
| Practice Location | |||||||||
| Address1: | 104 E 7TH AVE | ||||||||
| Address2: | |||||||||
| City: | CHADBOURN | ||||||||
| State: | NC | ||||||||
| PostalCode: | 284311402 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9106543143 | ||||||||
| FaxNumber: | 9106544144 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/31/2020 | ||||||||
| LastUpdateDate: | 03/22/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/22/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 267351 | NC | N | Nursing Service Providers | Registered Nurse | 363LF0000X | 5012838 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.