Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | H5874 | TX |
NPI | 1275572679 |
---|---|
Provider Name | Dr. Nancy L Eriksen |
First Address | Asheville, NC 28806-2906 |
Second Address | Odessa, TX 79761-4529 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 23/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
132405508 | (05) | TX |
E13744 | (02) |