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Individual

MR. JOEL WILLIAM ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
16004 BRAVADO PL, EDMOND, OK 73013-2204
(405) 684-7474
Mailing address
16004 BRAVADO PL, EDMOND, OK 73013-2204
(405) 684-7474

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
110910
OK
163W00000X
Registered Nurse
RN9422590
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
110910
OK
367500000X
Certified Registered Nurse Anesthetist
ARNP9422590
FL

Other

Enumeration date
03/12/2018
Last updated
07/17/2025
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