Individual
ERICKA MARIE DISTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, ACUPUNCTURIST
Contact information
Practice address
301 EXPLORER ST, GWINN, MI 49841-2813
(906) 346-9275
(906) 372-3230
Mailing address
301 EXPLORER ST, GWINN, MI 49841-2813
(906) 346-9275
(906) 372-3230
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704293102
MI
Other
Enumeration date
06/29/2021
Last updated
02/28/2022
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