Provider Demographics
NPI:1902988025
Name:ERRO, JOHN PATRICK (PA/FNP)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:PATRICK
Last Name:ERRO
Suffix:
Gender:M
Credentials:PA/FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2142
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:CA
Mailing Address - Zip Code:95361-5142
Mailing Address - Country:US
Mailing Address - Phone:209-847-2029
Mailing Address - Fax:
Practice Address - Street 1:3227 STANISLAUS ST
Practice Address - Street 2:
Practice Address - City:RIVERBANK
Practice Address - State:CA
Practice Address - Zip Code:95367-2464
Practice Address - Country:US
Practice Address - Phone:209-869-0131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA295821363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ16225ZMedicare ID - Type UnspecifiedMEDICARE NUMBER