Individual
MS. ERICA LYN PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
5 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2402
(618) 899-1264
Mailing address
PO BOX 955860, SAINT LOUIS, MO 63195-1933
(636) 498-5944
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209022130
IL
363LF0000X
Family Nurse Practitioner
RN119280
GA
Other
Enumeration date
11/13/2019
Last updated
11/10/2020
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