Individual
KATHRYN ANNE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1630 MASON AVE STE C, DAYTONA BEACH, FL 32117-4503
(386) 238-9064
Mailing address
5338 PLANTATION HOME WAY, PORT ORANGE, FL 32128-7529
(386) 333-2235
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG11005008
FL
Other
Enumeration date
11/21/2019
Last updated
01/02/2020
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