Provider Demographics
NPI:1073154613
Name:MCKINLEY, ERIKA (RN)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:MCKINLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:
Other - Last Name:MOSELEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1520 SE COUNTY ROAD 3137
Mailing Address - Street 2:
Mailing Address - City:CORSICANA
Mailing Address - State:TX
Mailing Address - Zip Code:75109
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1520 SE COUNTY ROAD 3137
Practice Address - Street 2:
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75109
Practice Address - Country:US
Practice Address - Phone:254-205-2924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-04
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX819701163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse