Individual provider · NPI-1

Erica Latrcia Body, RN

Registered Nurse, Psych/Mental Health · Spring, TX

NPI number1699786319

StatusActive

Last updated in NPPESJan 29, 2024

Details

NPI: 1699786319
Entity type: Individual (NPI-1)
Name: Mrs. Erica Latrcia Body
Credential: RN
Sex: Female
Sole proprietor: Yes
Enumeration date: Aug 10, 2006
Certification date: Jan 29, 2024
Last updated: Jan 29, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163WP0808X	Registered Nurse, Psych/Mental Health	703611	TX	Yes
163WH0200X	Registered Nurse, Home Health	703611	TX
163WH1000X	Registered Nurse, Hospice	703611	TX

Practice location

3923 Broken Elm Dr
Spring, TX 77388-5098

Phone 832-777-7654

Mailing address

3923 Broken Elm Dr
Spring, TX 77388-5098

Phone 832-777-7654

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