Provider Demographics
NPI:1083059174
Name:FEDYK, ERIKA LYN (RN)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:LYN
Last Name:FEDYK
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 1:5673 PEACHTREE DUNWOODY RD NE STE 675
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1774
Mailing Address - Country:US
Mailing Address - Phone:678-843-5400
Mailing Address - Fax:678-843-5449
Practice Address - Street 1:5673 PEACHTREE DUNWOODY RD NE STE 675
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1774
Practice Address - Country:US
Practice Address - Phone:678-843-5400
Practice Address - Fax:678-843-5449
Is Sole Proprietor?:No
Enumeration Date:2013-05-03
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN161882163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice