Provider Demographics
NPI:1184653248
Name:DECREE, ERIKA ANNE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:ANNE
Last Name:DECREE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2181 US HWY 2
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901
Mailing Address - Country:US
Mailing Address - Phone:406-756-7225
Mailing Address - Fax:
Practice Address - Street 1:2181 US HWY 2
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901
Practice Address - Country:US
Practice Address - Phone:406-756-7225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT40411363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT40411OtherMT NURSE PRACTITIONER LICENSE
PA024920NZRMedicare PIN
MT40411OtherMT NURSE PRACTITIONER LICENSE
PA024920UFWMedicare ID - Type Unspecified