Provider Demographics
NPI:1154571362
Name:HALL, ERICA LYNN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:LYNN
Last Name:HALL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:ERICA
Other - Middle Name:LYNN
Other - Last Name:BURNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1900 E NORTHERN PKWY STE T1
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-2120
Mailing Address - Country:US
Mailing Address - Phone:667-260-2826
Mailing Address - Fax:443-552-1464
Practice Address - Street 1:1900 E NORTHERN PKWY STE T1
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-2120
Practice Address - Country:US
Practice Address - Phone:667-260-2826
Practice Address - Fax:443-552-1464
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR162867363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health