Provider Demographics
NPI:1174070213
Name:GIANOTTO, ERICKA MARIE (ARNP, FNP-C, DNP)
Entity type:Individual
Prefix:
First Name:ERICKA
Middle Name:MARIE
Last Name:GIANOTTO
Suffix:
Gender:F
Credentials:ARNP, FNP-C, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2930 S MERIDIAN STE 200
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-1654
Mailing Address - Country:US
Mailing Address - Phone:253-445-7600
Mailing Address - Fax:
Practice Address - Street 1:2930 S MERIDIAN STE 200
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-1654
Practice Address - Country:US
Practice Address - Phone:253-445-7600
Practice Address - Fax:253-445-7659
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0001207-C-NP363LF0000X
WARN60920633363LF0000X
NMRN-85238363LF0000X
NMCNP-03075363LF0000X
WAAP60920634363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2123120Medicaid