Provider Demographics
NPI:1215608401
Name:TROKEY, ERICA (MS)
Entity type:Individual
Prefix:MS
First Name:ERICA
Middle Name:
Last Name:TROKEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:TROKEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:1687 WOODLANE DR STE 208
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-3047
Mailing Address - Country:US
Mailing Address - Phone:651-327-0849
Mailing Address - Fax:651-383-4557
Practice Address - Street 1:1687 WOODLANE DR STE 208
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-3047
Practice Address - Country:US
Practice Address - Phone:651-327-0849
Practice Address - Fax:651-383-4557
Is Sole Proprietor?:No
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program