Provider Demographics
NPI:1114653755
Name:LETT, ERINA ANGELA
Entity Type:Individual
Prefix:MRS
First Name:ERINA
Middle Name:ANGELA
Last Name:LETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 TELEPHONE RD STE B
Mailing Address - Street 2:
Mailing Address - City:PASCAGOULA
Mailing Address - State:MS
Mailing Address - Zip Code:39567-3350
Mailing Address - Country:US
Mailing Address - Phone:228-217-4637
Mailing Address - Fax:
Practice Address - Street 1:2010 TELEPHONE RD STE B
Practice Address - Street 2:
Practice Address - City:PASCAGOULA
Practice Address - State:MS
Practice Address - Zip Code:39567-3350
Practice Address - Country:US
Practice Address - Phone:228-217-4637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No253Z00000XAgenciesIn Home Supportive Care