Provider Demographics
NPI:1275786345
Name:ERICKSON, BRITTAIN A (PA-C)
Entity Type:Individual
Prefix:
First Name:BRITTAIN
Middle Name:A
Last Name:ERICKSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5039 OLD CLINIC
Mailing Address - Street 2:CB #7110
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7110
Mailing Address - Country:US
Mailing Address - Phone:919-966-1459
Mailing Address - Fax:919-966-4507
Practice Address - Street 1:5039 OLD CLINIC
Practice Address - Street 2:CB #7110
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7110
Practice Address - Country:US
Practice Address - Phone:919-966-1459
Practice Address - Fax:919-966-4507
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-01583363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant