Provider Demographics
NPI:1154085462
Name:ARMSTRONG, ERIKA
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:
Last Name:ARMSTRONG
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 1:445 ALMOND DR APT 52
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:CA
Mailing Address - Zip Code:95240-6344
Mailing Address - Country:US
Mailing Address - Phone:209-642-0835
Mailing Address - Fax:
Practice Address - Street 1:5301 ELMER WAY
Practice Address - Street 2:SAM BRANNAN
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95882
Practice Address - Country:US
Practice Address - Phone:916-826-2928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-25
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program