Individual provider · NPI-1

Ericka Church, LPN

Licensed Practical Nurse · Wilmington, DE

NPI number1902685506
StatusActive
Last updated in NPPESSep 25, 2023

Details

NPI
1902685506
Entity type
Individual (NPI-1)
Name
Ericka Church
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Sep 25, 2023
Certification date
Sep 25, 2023
Last updated
Sep 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseL2-0024026DEYes

Practice location

4 Bedford Dr
Wilmington, DE 19809-3302

Phone 302-897-7525

Mailing address

4 Bedford Dr
Wilmington, DE 19809-3302

Phone 302-897-7525

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