Provider Demographics
NPI:1366161168
Name:NELSON, ERIKA JEAN (RN)
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:JEAN
Last Name:NELSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:637 E STONEBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-6436
Mailing Address - Country:US
Mailing Address - Phone:480-747-7061
Mailing Address - Fax:
Practice Address - Street 1:175 W ELLIOT RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-5446
Practice Address - Country:US
Practice Address - Phone:480-892-8624
Practice Address - Fax:480-813-7284
Is Sole Proprietor?:No
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN149384163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool