Individual
ERICA LYNN UDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1725 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403-5345
(910) 662-9300
(910) 662-9301
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-9300
(910) 662-9301
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5018799
NC
363LP2300X
Primary Care Nurse Practitioner
95010809
CA
363LW0102X
Women's Health Nurse Practitioner
95010809
CA
Other
Enumeration date
06/05/2019
Last updated
12/21/2023
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