Individual provider · NPI-1

Erica Ashley Austen, FNP

Nurse Practitioner, Family · Stony Brook, NY

NPI number1679297212
StatusActive
Last updated in NPPESSep 27, 2022

Details

NPI
1679297212
Entity type
Individual (NPI-1)
Name
Erica Ashley Austen
Credential
FNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 27, 2022
Certification date
Sep 27, 2022
Last updated
Sep 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyF11190430NYYes

Other names

  • Erica Ashely Valencia (Former Name)

Practice location

1320 Stony Brook Rd Ste 100
Stony Brook, NY 11790-2222

Phone 631-941-2273

Mailing address

48 Derby Pl
Smithtown, NY 11787-1329

Phone 516-652-5283

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