Provider Demographics
NPI:1023832037
Name:ERICKSON, BECKI LYNN (LPN)
Entity type:Individual
Prefix:
First Name:BECKI
Middle Name:LYNN
Last Name:ERICKSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11229 NE 128TH ST UNIT H201
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-4738
Mailing Address - Country:US
Mailing Address - Phone:206-946-5130
Mailing Address - Fax:
Practice Address - Street 1:11229 NE 128TH ST UNIT H201
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-4738
Practice Address - Country:US
Practice Address - Phone:206-946-5130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61579459164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse