Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wylie Barham, CNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063351245

Wylie Barham, CNP is a Nurse Practitioner in Lake Charles, Louisiana. Qualified in 2025, 1 year ago. Licensed in Louisiana.

Years since qualifying
1
Licensed in
LA
In the registry since
2026
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

748 Bayou Pines East Dr Ste C
Lake Charles, LA 70601-7596
Phone: (337) 602-1462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 245658 (LA)

Record details

NPI number1063351245
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedMarch 25, 2026
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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