Provider Demographics
NPI:1043859846
Name:MEHNEY, ERIKA J (FNP, RN)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:J
Last Name:MEHNEY
Suffix:
Gender:F
Credentials:FNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2136 CHESANING DR SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49506-5311
Mailing Address - Country:US
Mailing Address - Phone:616-893-3218
Mailing Address - Fax:
Practice Address - Street 1:2136 CHESANING DR SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49506-5311
Practice Address - Country:US
Practice Address - Phone:616-893-3218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-27
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704249858363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily