Provider Demographics
NPI:1588266142
Name:HARTWELL, ERIKA DANIELLE (FNP-C)
Entity type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:DANIELLE
Last Name:HARTWELL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2777 PACIFIC AVE STE E
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-2626
Mailing Address - Country:US
Mailing Address - Phone:562-426-6571
Mailing Address - Fax:562-595-8695
Practice Address - Street 1:2777 PACIFIC AVE STE E
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2626
Practice Address - Country:US
Practice Address - Phone:562-426-6571
Practice Address - Fax:562-595-8695
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-09
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95015965363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner