Provider Demographics
NPI:1467022962
Name:NIBLETT, ERIN HAMILTON (RN, CRNA)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:HAMILTON
Last Name:NIBLETT
Suffix:
Gender:F
Credentials:RN, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 WOODRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-1140
Mailing Address - Country:US
Mailing Address - Phone:662-832-4749
Mailing Address - Fax:
Practice Address - Street 1:1414 WOODRIDGE PL
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-1140
Practice Address - Country:US
Practice Address - Phone:662-832-4749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-165325367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered