Provider Demographics
NPI:1619787926
Name:ANDERSON, ERIKA LYNN (RN)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:LYNN
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W177 COUNTY ROAD DD
Mailing Address - Street 2:KEWASKUM, WI, 53040
Mailing Address - City:KEWASKUM (WASHINGTON COUNTY), WI 53040
Mailing Address - State:WI
Mailing Address - Zip Code:53040
Mailing Address - Country:US
Mailing Address - Phone:815-757-7373
Mailing Address - Fax:
Practice Address - Street 1:W177 COUNTY ROAD DD
Practice Address - Street 2:
Practice Address - City:KEWASKUM
Practice Address - State:WI
Practice Address - Zip Code:53040-1124
Practice Address - Country:US
Practice Address - Phone:815-757-7373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL577279163W00000X
WI237562163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse