Provider Demographics
NPI:1538402441
Name:PRUSS, ERIKA LEIGH (MD)
Entity type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:LEIGH
Last Name:PRUSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:LEIGH
Other - Last Name:OFEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1155 MILL ST # MSM14
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1576
Mailing Address - Country:US
Mailing Address - Phone:775-982-5437
Mailing Address - Fax:
Practice Address - Street 1:901 E 2ND ST STE 201
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1186
Practice Address - Country:US
Practice Address - Phone:775-982-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV26713208000000X, 2080S0010X
CAA1746062080S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080S0010XAllopathic & Osteopathic PhysiciansPediatricsSports Medicine
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics