Provider Demographics
NPI:1740897644
Name:BAHLER, ERIKA MARIA
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:MARIA
Last Name:BAHLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:364 NORTHRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SENOIA
Mailing Address - State:GA
Mailing Address - Zip Code:30276-1936
Mailing Address - Country:US
Mailing Address - Phone:971-218-5943
Mailing Address - Fax:
Practice Address - Street 1:1401 GEORGIAN PARK STE 200
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-6974
Practice Address - Country:US
Practice Address - Phone:770-632-8909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-25
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61042045163WC0200X
GARN277015363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine