Individual
LAURA L ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 274-8812
(317) 274-0133
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71004146A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201132180
—
IN
Enumeration date
09/28/2012
Last updated
07/13/2021
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