Provider Demographics
NPI:1487369146
Name:THORPE, ERIKKA G
Entity type:Individual
Prefix:
First Name:ERIKKA
Middle Name:G
Last Name:THORPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARTTEKA
Other - Middle Name:AM AB
Other - Last Name:NEFER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1462 PEACH AVE APT D
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-5839
Mailing Address - Country:US
Mailing Address - Phone:619-547-6906
Mailing Address - Fax:
Practice Address - Street 1:1462 PEACH AVE APT D
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-5839
Practice Address - Country:US
Practice Address - Phone:619-547-6906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANA174N00000X, 374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN