Individual
MS. KIMBERLY J. ERLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CPNP
Contact information
Practice address
100 S SAN MATEO DR, 3RD FLOOR, RM 3364, SAN MATEO, CA 94401-3805
(650) 696-4595
Mailing address
100 S SAN MATEO DR, 3RD FLOOR, RM 3364, SAN MATEO, CA 94401-3805
(650) 696-4595
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
13675
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
13675
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00136750
—
CA
Enumeration date
06/25/2006
Last updated
08/14/2013
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