Individual
ERICA A PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 735-0501
(651) 251-8050
Mailing address
875 HIGHLANDER TRL, HUDSON, WI 54016-7970
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1375284
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62G19PE
BCBS
MN
Enumeration date
09/16/2006
Last updated
07/08/2007
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