Individual
SALLY ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
474 W 200 N, SUITE 200, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8700
Mailing address
474 W 200 N, SUITE 300, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8700
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
268709-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ERICKS
SBHC STAFF CODE
UT
Enumeration date
05/21/2007
Last updated
07/08/2007
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