Individual
ERICA RAGAN MATLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND, FNP
Contact information
Practice address
30 BROAD ST FL 45, NEW YORK, NY 10004-2942
(212) 530-0630
(212) 867-4353
Mailing address
30 BROAD ST FL 45, NEW YORK, NY 10004-2942
(212) 530-0630
(212) 867-4353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
805445
CA
175F00000X
Naturopath
ND-480
CA
363L00000X
Nurse Practitioner
21394
CA
363L00000X
Nurse Practitioner
Primary
337922
NY
Other
Enumeration date
12/14/2011
Last updated
01/26/2018
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