# ELLEN LEA ERICKSON

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

## Provider details

- **NPI number:** 1932438967
- **Gender:** F
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | R036320 | SD | Yes |

## Other

- **Enumeration date:** 12/22/2009
- **Last updated:** 05/04/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0140070 | — | SD |
| 05 | — | 5549050 | — | SD |