Provider Demographics
NPI:1912336314
Name:SEAGLE, ERIKA STEELE (CPNP-PC)
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:STEELE
Last Name:SEAGLE
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:MRS
Other - First Name:ERIKA
Other - Middle Name:STEELE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP-PC
Mailing Address - Street 1:4409 SONOMA CIR
Mailing Address - Street 2:
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578-4260
Mailing Address - Country:US
Mailing Address - Phone:703-577-1795
Mailing Address - Fax:
Practice Address - Street 1:4409 SONOMA CIR
Practice Address - Street 2:
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578-4260
Practice Address - Country:US
Practice Address - Phone:703-577-1795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-06
Last Update Date:2017-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024171302363LP0200X
FL9408530363LP0200X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL017270200Medicaid