# SEAN ERICKSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538419692
- **Gender:** Man
- **Credential:** PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN60403160 | WA | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 5359524-3102 | UT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5359524-4405 | UT | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP60399107 | WA | — |

## Other

- **Enumeration date:** 09/17/2012
- **Last updated:** 11/26/2024
