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Individual

ERIKA E. NITES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
452 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 366-8030
(614) 366-4545
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 366-8030
(614) 366-4545

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006059RX
OH
363AM0700X
Medical Physician Assistant
MA060092
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0387125
OH
Enumeration date
08/07/2018
Last updated
02/10/2020
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