| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ERICA BUMGARNER | 1083342224 | 2022-08-14 |
Erica Bumgarner is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1083342224. Registration indicates Erica Bumgarner is a provider of services with a specialization in Other Service Providers, Health Educator (Health Educator, Other Service Providers) (Health Educator, ) (Agencies, Community/Behavioral Health) (Community/Behavioral Health, ) (Community Mental Health Center, ) (Community/Behavioral Health, Agencies)
| Entity Type | Individual |
| Provider Name | Erica Bumgarner |
| Practice Office Address | 79 MAPLE HILL DR CHAGRIN FALLS, OH US |
| Practice Office Telephone | 4409038990 |
| Mailing Address | 79 MAPLE HILL DR CHAGRIN FALLS, OH 440224210 US |
| Business Telephone | 4404850497 |
| Code | Practice | License No State |
|---|---|---|
| 174H00000X | Other Service Providers Health Educator Health Educator Other Service Providers Health Educator |
OH |
| 171400000X |
OH | |
| 251S00000X PRIMARY | Agencies Community/Behavioral Health Community/Behavioral Health Community Mental Health Center Community/Behavioral Health Agencies |
OH |