Provider Demographics
NPI:1275772980
Name:URBAN, ERIKA LYNN (CPM, LM)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:LYNN
Last Name:URBAN
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 PARK ROW
Mailing Address - Street 2:
Mailing Address - City:SAINT PETER
Mailing Address - State:MN
Mailing Address - Zip Code:56082-2059
Mailing Address - Country:US
Mailing Address - Phone:507-934-4820
Mailing Address - Fax:507-934-4828
Practice Address - Street 1:526 PARK ROW
Practice Address - Street 2:
Practice Address - City:SAINT PETER
Practice Address - State:MN
Practice Address - Zip Code:56082-2059
Practice Address - Country:US
Practice Address - Phone:507-934-4820
Practice Address - Fax:507-934-4828
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-19
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1023176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife