Provider Demographics
NPI:1538441506
Name:KNOX, ERIKA L (LPN)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:L
Last Name:KNOX
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:L
Other - Last Name:VENABLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:2599 KINGSTON RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-4347
Mailing Address - Country:US
Mailing Address - Phone:770-572-9454
Mailing Address - Fax:
Practice Address - Street 1:2599 KINGSTON RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44118-4347
Practice Address - Country:US
Practice Address - Phone:770-572-9454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 097116164W00000X
GALPN054460164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse