Provider Demographics
NPI:1215582150
Name:HANNIGAN, ERIKA
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:
Last Name:HANNIGAN
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 1:7671 GREEN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-6508
Mailing Address - Country:US
Mailing Address - Phone:216-210-4399
Mailing Address - Fax:440-891-1576
Practice Address - Street 1:18660 BAGLEY RD STE 102B
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-3483
Practice Address - Country:US
Practice Address - Phone:440-826-0742
Practice Address - Fax:440-891-1576
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN418567163W00000X
OHAPRN.CNP.025933363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse