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Kenneth Wayne Erickson, FNP
Family Nurse Practitioner in Oakdale, California
NPI 1184848897

Kenneth Wayne Erickson is a Family Nurse Practitioner based in Oakdale, CA and is specialized in Family. Kenneth Wayne Erickson practices in Oakdale, CA and has the professional credentials of FNP. The NPI Number for Kenneth Wayne Erickson is 1184848897 and holds a License No. NP14456 (California).

The current practice location address for Kenneth Wayne Erickson is 1420 W H St, Oakdale, CA and can be reached out via phone at 209-848-4180 and via fax at 209-848-5337.

Location: 1420 W H St, Oakdale, CA, 95361-3557
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Provider Profile Details
NPI Number
1184848897
Provider Name
Kenneth Wayne Erickson
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1420 W H St, Oakdale, CA, 95361-3557
Phone Number
209-848-4180
Fax Number
209-848-5337
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP14456 01 CA CALIFORNIA NP CERTIFICATE
institution
Provider Business Practice Location Address Details
Address
1420 W H St
City
State
Zip
95361-3557
Phone Number
209-848-4180
Fax Number
209-848-5337
person
Provider Business Mailing Address Details
Address
1420 W H St
City
State
Zip
95361-3557
Phone Number
209-848-4180
Fax Number
209-848-5337
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
NP14456 (California)
Definition
Definition to come...
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