Individual
ERICA LYNN HOMMERTZHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGPCNP-C
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61156246
WA
363LA2200X
Adult Health Nurse Practitioner
AP61156246
WA
363LP2300X
Primary Care Nurse Practitioner
AP61156246
WA
Other
Enumeration date
05/05/2021
Last updated
07/25/2024
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