Provider Demographics
NPI:1114638913
Name:ECHEZARRETA, ERICKA KATRINA (FNP)
Entity Type:Individual
Prefix:
First Name:ERICKA
Middle Name:KATRINA
Last Name:ECHEZARRETA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1651 NE 115TH ST APT 9C
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-3127
Mailing Address - Country:US
Mailing Address - Phone:786-342-5787
Mailing Address - Fax:
Practice Address - Street 1:1651 NE 115TH ST APT 9C
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-3127
Practice Address - Country:US
Practice Address - Phone:786-342-5787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2022062630363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily