Provider Demographics
NPI:1710781125
Name:TEPLY, ERIKA (NP-BC, RN)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:TEPLY
Suffix:
Gender:
Credentials:NP-BC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6008 MEANDERING WAY
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-4569
Mailing Address - Country:US
Mailing Address - Phone:707-816-8126
Mailing Address - Fax:
Practice Address - Street 1:6008 MEANDERING WAY
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-4569
Practice Address - Country:US
Practice Address - Phone:707-816-8126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA802685163WE0003X
CA95026357363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No163WE0003XNursing Service ProvidersRegistered NurseEmergency