Individual provider · NPI-1

Stephanie R Erickson, NP, CNM, MS

Nurse Practitioner, Obstetrics & Gynecology · Sacramento, CA

NPI number1659345569

StatusActive

Last updated in NPPESDec 30, 2021

Details

NPI: 1659345569
Entity type: Individual (NPI-1)
Name: Ms. Stephanie R Erickson
Credential: NP, CNM, MS
Sex: Female
Sole proprietor: No
Enumeration date: Feb 15, 2006
Last updated: Dec 30, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LX0001X	Nurse Practitioner, Obstetrics & Gynecology	NP 11071	CA	Yes
367A00000X	Advanced Practice Midwife	CNM 1400	CA

Practice location

6600 Bruceville Rd
Sacramento, CA 95823-4671

Phone 916-688-6139

Mailing address

6600 Bruceville Rd
Sacramento, CA 95823-4671

Phone 916-688-6139

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