Provider Demographics
NPI:1295496651
Name:MULREED, ERIKA MARIE (FNP-C)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:MARIE
Last Name:MULREED
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 1:1747 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-3429
Mailing Address - Country:US
Mailing Address - Phone:732-996-0313
Mailing Address - Fax:
Practice Address - Street 1:1747 HOWARD ST
Practice Address - Street 2:
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07719-3429
Practice Address - Country:US
Practice Address - Phone:732-996-0313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR13553900163WM0705X
NJ26NJ01220700363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical