Individual provider · Type 1 NPI

Shelly Marie Erickson, FNP

Nurse Practitioner · Phoenix, AZ

NPI number 1124543244 Active

Practice location

5777 E Mayo Blvd
Phoenix, AZ 85054-4502

Mailing address

19755 E Willow Dr
Queen Creek, AZ 85142-9430

Other practice locations

  • 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 · (480) 256-6444

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP10486 (AZ)
Family Nurse Practitioner 363LF0000XAP10486 (AZ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124543244

Shelly Marie Erickson, FNP's National Provider Identifier is 1124543244, issued on Aug 9, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 21, 2026.