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Individual

MRS. ERICKA NICOLE NORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
9600 E INDEPENDENCE BLVD, MATTHEWS, NC 28105-4628
(704) 815-5624
(704) 815-5621
Mailing address
PO BOX 601843, CHARLOTTE, NC 28260-1843

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03844
NC
363AM0700X
Medical Physician Assistant
0010-03844
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942552674
NC
05
8102884
NC
Enumeration date
10/04/2012
Last updated
10/26/2020
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