Provider Demographics
NPI:1447143128
Name:ERK, ELIZABETH
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:ERK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 DARTMOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:NEWELL
Mailing Address - State:SD
Mailing Address - Zip Code:57760-2112
Mailing Address - Country:US
Mailing Address - Phone:605-645-7890
Mailing Address - Fax:
Practice Address - Street 1:913 DARTMOUTH AVE
Practice Address - Street 2:
Practice Address - City:NEWELL
Practice Address - State:SD
Practice Address - Zip Code:57760-2112
Practice Address - Country:US
Practice Address - Phone:605-645-7890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR030959163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice