NPI 1073144705

Teresa Ericksen

Practitioner Home Health Aide Lewis, IA

Practice location

Address: 109 W Main St APT 3, Lewis, IA 51544-5528
Phone: (712) 789-1220
Mailing address: 506 Hazel St, Atlantic, IA 50022-1301

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1073144705
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jan 2020
Record last updated: 31 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.