Provider Demographics
NPI:1033932744
Name:FLOWERS, ERICA RENEE (CNA)
Entity type:Individual
Prefix:MISS
First Name:ERICA
Middle Name:RENEE
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:853 REIST AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417-3328
Mailing Address - Country:US
Mailing Address - Phone:312-965-4907
Mailing Address - Fax:
Practice Address - Street 1:853 REIST AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-3328
Practice Address - Country:US
Practice Address - Phone:312-965-4907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-02
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
376K00000X
OH376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide