Individual
TIFFANI ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4200 WISCONSIN AVE NW STE 4, WASHINGTON, DC 20016-2143
(202) 295-0544
(877) 544-7752
Mailing address
4200 WISCONSIN AVE NW STE 4, WASHINGTON, DC 20016-2143
(202) 295-0544
(877) 544-7752
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01096376A
IN
207V00000X
Obstetrics & Gynecology Physician
CDR.0004535
CO
207V00000X
Obstetrics & Gynecology Physician
Primary
MD049357
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101023761
ANTHEM PTAN
IN
Enumeration date
04/11/2017
Last updated
08/15/2025
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