Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2016-00254 | NC |
Y | 2080P0210X | Pediatric Nephrologist | MD.38090 | AL |
NPI | 1992140784 |
---|---|
Provider Name | Erica Christen Bjornstad |
First Address | Birmingham, AL 35233-1711 |
Second Address | Birmingham, AL 35233 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2013 |
Last Update Date | 25/09/2019 |