ERICKA EVANS


Address: 3509 W Mulberry St, Baltimore, MD 21229-3041
Phone: 4437201235

ERICKA EVANS (NPI# 1275017063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275017063
Entity Type Individual
Full Name ERICKA EVANS
Credential CHC
Practice Address 3509 W Mulberry St
Baltimore
MD 21229-3041
Practice Telephone 4437201235
Mailing Telephone 4437201235
Enumeration Date 2018-09-18
Last Update Date 2018-09-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133NN1002X Nutritionist
Specialization: Nutrition, Education
Dietary & Nutritional Service Providers

Other Providers ERICKA EVANS

NPI Name Taxonomy Address Enumeration
1538417746 Ericka June Evans Case Manager/Care Coordinator 1501 Hughes Way, Suite 150, Long Beach, CA 90810-1876 2012-08-17

Office Location

Street Address 3509 W MULBERRY ST
City BALTIMORE
State MD
Zip Code 21229-3041

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Taxonomy Information

Taxonomy Code 133NN1002X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist
Specialization Nutrition, Education

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21229

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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