Provider Demographics
NPI:1225379134
Name:FREEMAN, ERICKA LYNN (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ERICKA
Middle Name:LYNN
Last Name:FREEMAN
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:PO BOX 2705
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35804-2705
Mailing Address - Country:US
Mailing Address - Phone:256-265-4596
Mailing Address - Fax:256-265-4599
Practice Address - Street 1:420 LOWELL DR SE SUITE 302
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801
Practice Address - Country:US
Practice Address - Phone:256-265-1910
Practice Address - Fax:256-265-1911
Is Sole Proprietor?:No
Enumeration Date:2013-03-04
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALF0113304363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1-081147OtherALABAMA BOARD OF NURSING
ALF0113304OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS