Provider Demographics
NPI:1245043223
Name:FLOWERS, ERICA ANN (LVN)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:ANN
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3017 KENYON ST
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95205-2816
Mailing Address - Country:US
Mailing Address - Phone:209-430-1510
Mailing Address - Fax:
Practice Address - Street 1:13386 MARENGO RD
Practice Address - Street 2:
Practice Address - City:GALT
Practice Address - State:CA
Practice Address - Zip Code:95632-8429
Practice Address - Country:US
Practice Address - Phone:925-878-3686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA742321164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse