Individual
ERICA DANIELLE HETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
601 E ROLLINS STREET, ORLANDO, FL 32803-1468
(607) 303-2528
(407) 895-8279
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-2528
(407) 303-2760
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
ARNP9227417
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004641100
—
FL
01
—
Y09YX
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/20/2012
Last updated
09/26/2019
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