ELIZABETH ERIKSSON (NPI# 1275869596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275869596 |
| Entity Type | Individual |
| Full Name | ELIZABETH ERIKSSON |
| Credential | ARNP, ANP-BC |
| Practice Address |
1893 N Clyde Morris Blvd Ste 120 Daytona Beach FL 32117-5536 |
| Practice Telephone | 3866756778 |
| Practice Fax Number | 3866756782 |
| Mailing Telephone | 3866756778 |
| Mailing Fax Number | 3866756782 |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
3354322 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP3354322 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 009122900 | 05 |
| Street Address |
1893 N CLYDE MORRIS BLVD STE 120 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-5536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962490011 | Arun Kumar Dhand | Internal Medicine | 1893 N Clyde Morris Blvd Ste 120, Daytona Beach, FL 32117-5536 | 2005-10-12 |
| 1023528585 | Health Complex Physical Therapy and Wellness | Physical Therapist | 1893 N Clyde Morris Blvd Ste 120, Daytona Beach, FL 32117-5536 | 2017-10-10 |
| 1346517844 | Arun K Dhand Md Pl | Internal Medicine | 1893 N Clyde Morris Blvd Ste 120, Daytona Beach, FL 32117-5536 | 2011-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891230371 | Dmitriy Shishkin | Nurse Practitioner | 253 Bayberry Lakes Blvd, Daytona Beach, FL 32124-3620 | 2016-12-20 |
| 1285805804 | Sylvia S. Quandt | Nurse Practitioner | 1200 Red John Dr, Daytona Beach, FL 32124-1073 | 2008-03-23 |
| 1952499287 | Natalie K Eisenhut | Nurse Practitioner | 1040 W International Speedway Blvd, Daytona Beach, FL 32114-3434 | 2006-10-11 |
| 1396742490 | Theodore Frank Matejka | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2005-07-05 |
| 1588200885 | Kathryn Anne Erickson | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | 2019-11-21 |
| 1225532336 | Kristine Mcgowan | Nurse Practitioner | 305 Memorial Medical Pkwy Ste 502, Daytona Beach, FL 32117-5169 | 2018-03-22 |
| 1659886646 | Tenisha Bryan Morris | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117 | 2017-12-12 |
| 1366991812 | Melissa Renae Clegg | Nurse Practitioner | 305 Memorial Medical Pkwy, Suite 301, Daytona Beach, FL 32117-5168 | 2016-09-26 |
| 1548614647 | Emma Laura Ems | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117 | 2016-04-15 |
| 1669808861 | Robin P Brown | Nurse Practitioner | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2013-09-19 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
Please comment or provide details below to improve the information on ELIZABETH ERIKSSON.
| 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.