Provider Demographics
NPI:1316758295
Name:SHROYER, ERICA RODRIGUEZ (LVN)
Entity type:Individual
Prefix:MS
First Name:ERICA
Middle Name:RODRIGUEZ
Last Name:SHROYER
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:JANE
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:4538 LEGEND TRL
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-2197
Mailing Address - Country:US
Mailing Address - Phone:830-481-0617
Mailing Address - Fax:
Practice Address - Street 1:790 GENERATIONS DR STE 700
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6865
Practice Address - Country:US
Practice Address - Phone:830-643-0717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-18
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX224914164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164X00000XNursing Service ProvidersLicensed Vocational NurseGroup - Single Specialty