Provider Demographics
NPI:1174255095
Name:ERICSON, KATHRYN STROPLE (FNP-C)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:STROPLE
Last Name:ERICSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4620 SPRINGERLY LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-4924
Mailing Address - Country:US
Mailing Address - Phone:919-621-3644
Mailing Address - Fax:
Practice Address - Street 1:DUKE HOSPITAL CANCER CENTER - SARCOMA CLINIC
Practice Address - Street 2:20 DUKE MEDICINE CIRCLE, CLINIC LEVEL 00
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710
Practice Address - Country:US
Practice Address - Phone:919-668-6608
Practice Address - Fax:919-681-7645
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCF06221331363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily