Individual provider · Type 1 NPI
Samantha Erickson
Primary Care Nurse Practitioner · Hasbrouck Heights, NJ
NPI number
1104368950
Active
Practice location
212 Columbus Ave
Hasbrouck Heights, NJ 07604-1622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 26NJ00681600 (NJ) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1104368950
Samantha Erickson's National Provider Identifier is 1104368950, issued on Nov 10, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Hasbrouck Heights, NJ. The record was last updated on Nov 10, 2016.