Provider Demographics
NPI:1346617669
Name:GITCHEL, ERIKA (AGNP-BC)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:GITCHEL
Suffix:
Gender:F
Credentials:AGNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:978 SIGNET DR FL 33572
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-2925
Mailing Address - Country:US
Mailing Address - Phone:940-249-1304
Mailing Address - Fax:
Practice Address - Street 1:978 SIGNET DR
Practice Address - Street 2:
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-2925
Practice Address - Country:US
Practice Address - Phone:940-249-1304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP11011052363LA2200X
COC-APN.0002570-C-NP363LA2200X
TN35078363LA2200X
GAGAA-NP002213363LA2200X
MS926003363LA2200X
NE115378363LA2200X
MDACOO5453363LA2200X
NV853283363LA2200X
MT194493363LA2200X
AZ259337363LA2200X
TXAP128835363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health