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Individual

MS. STEPHANIE R ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP, CNM, MS

Contact information

Practice address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-6139
Mailing address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-6139

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
NP 11071
CA
367A00000X
Advanced Practice Midwife
CNM 1400
CA

Other

Enumeration date
02/15/2006
Last updated
12/30/2021
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