Individual provider · Type 1 NPI

Ericka Marie Distefano, FNP, ACUPUNCTURIST

Family Nurse Practitioner · Gwinn, MI

NPI number 1639749963 Active

Practice location

301 Explorer St
Gwinn, MI 49841-2813

Fax (906) 372-3230

Other practice locations

  • 135 E M35, Gwinn, MI 49841-9160 · (906) 346-9275

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704293102 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1639749963

Ericka Marie Distefano, FNP, ACUPUNCTURIST's National Provider Identifier is 1639749963, issued on Jun 29, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gwinn, MI. The record was last updated on Feb 28, 2022.