Individual provider · Type 1 NPI
Kelley Annette Erickson, CRNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1477095784
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
2039 Saint Albans St
Philadelphia, PA 19146-1334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP016825 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1477095784
Kelley Annette Erickson, CRNP's National Provider Identifier is 1477095784, issued on Nov 17, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 17, 2016.