Brian Roy Erickson
Nurse Practitioner - Critical Care Medicine
1450 Matthews Township Pkwy Ste 380
Matthews
, North Carolina 28105
Brian Roy Erickson
Nurse Practitioner - Critical Care Medicine
1450 Matthews Township Pkwy Ste 380
Matthews
, North Carolina 28105
(704) 384-6588
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Brian Roy Erickson
- Po Box 60447
- Charlotte, NC
- Zip : 28260-0447
- Fax : (704) 384-6588
- Phone : (704) 384-9200
Second Address
- Brian Roy Erickson
- 1450 Matthews Township Pkwy Ste 380
- Matthews, NC
- Zip : 28105
- Phone : (704) 384-9200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 5010628 | NC |
National Provider Identifier
| NPI | 1083108419 |
|---|---|
| Provider Name | Brian Roy Erickson |
| First Address | Charlotte, NC 28260-0447 |
| Second Address | Matthews, NC 28105 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2018 |
| Last Update Date | 26/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.