Provider Demographics
NPI:1124173927
Name:YOST, ERICA K (RN)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:K
Last Name:YOST
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 BYFIELD DR
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:MI
Mailing Address - Zip Code:48625-9328
Mailing Address - Country:US
Mailing Address - Phone:989-539-0824
Mailing Address - Fax:
Practice Address - Street 1:1530 BYFIELD DR
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:MI
Practice Address - Zip Code:48625-9328
Practice Address - Country:US
Practice Address - Phone:989-539-0824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704245222163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse