Provider Demographics
NPI:1861890360
Name:SCROGGIE, ERIKA LEE (RN)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:LEE
Last Name:SCROGGIE
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 1:407 E. WOODIN AVE.
Mailing Address - Street 2:P.O BOX 369
Mailing Address - City:CHELAN
Mailing Address - State:WA
Mailing Address - Zip Code:98816
Mailing Address - Country:US
Mailing Address - Phone:509-682-4031
Mailing Address - Fax:509-682-3373
Practice Address - Street 1:407 E. WOODIN AVE.
Practice Address - Street 2:
Practice Address - City:CHELAN
Practice Address - State:WA
Practice Address - Zip Code:98816
Practice Address - Country:US
Practice Address - Phone:509-682-4031
Practice Address - Fax:509-682-3373
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-15
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60230566163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool