Provider Demographics
NPI:1306269840
Name:SIMON, ERIKA (RN)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:SIMON
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 1:2501 CHARITY ST
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70510-4022
Mailing Address - Country:US
Mailing Address - Phone:337-893-1443
Mailing Address - Fax:337-893-1797
Practice Address - Street 1:2501 CHARITY ST
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70510-4022
Practice Address - Country:US
Practice Address - Phone:337-893-1443
Practice Address - Fax:337-893-1797
Is Sole Proprietor?:No
Enumeration Date:2014-02-03
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN125391163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health