Provider Demographics
NPI:1932683133
Name:AURIEMME, ERICA (MS RD CSSD LDN)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:AURIEMME
Suffix:
Gender:F
Credentials:MS RD CSSD LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 FITZGERALD LN
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-8464
Mailing Address - Country:US
Mailing Address - Phone:630-669-8902
Mailing Address - Fax:
Practice Address - Street 1:248 MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-8161
Practice Address - Country:US
Practice Address - Phone:306-669-8902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-24
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.10325133V00000X
FLND9980133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered