Provider Demographics
NPI:1326583667
Name:LEO, ERIKA (APRN,FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:LEO
Suffix:
Gender:F
Credentials:APRN,FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2725 NE 11TH ST
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-4219
Mailing Address - Country:US
Mailing Address - Phone:954-890-3600
Mailing Address - Fax:954-890-3800
Practice Address - Street 1:2725 NE 11TH ST
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-4219
Practice Address - Country:US
Practice Address - Phone:954-983-3888
Practice Address - Fax:954-890-3800
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-22
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9231488363LF0000X
FLAPRN9231488363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily