Provider Demographics
NPI:1992269203
Name:DIXON, ERIKA ELIZABETH (CRNP)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:ELIZABETH
Last Name:DIXON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11311 MCCORMICK RD STE 350
Mailing Address - Street 2:
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-8618
Mailing Address - Country:US
Mailing Address - Phone:443-849-6257
Mailing Address - Fax:443-849-3182
Practice Address - Street 1:11311 MCCORMICK RD STE 350
Practice Address - Street 2:
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21031
Practice Address - Country:US
Practice Address - Phone:443-849-6257
Practice Address - Fax:443-849-3182
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-31
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR163511363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner