Individual
ERICKA ETHERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1340 N MADISON AVE, ANDERSON, IN 46011-1216
(765) 622-7600
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71007124A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266180966
MEDICARE
IN
05
—
300003135
—
IN
Enumeration date
06/06/2017
Last updated
11/27/2023
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