Provider Demographics
NPI:1346617669
Name:GITCHEL, ERIKA (AGNP-BC)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:GITCHEL
Suffix:
Gender:F
Credentials:AGNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5616 ROSS CREEK LN
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76310-2853
Mailing Address - Country:US
Mailing Address - Phone:352-205-2507
Mailing Address - Fax:
Practice Address - Street 1:5616 ROSS CREEK LN
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310-2853
Practice Address - Country:US
Practice Address - Phone:352-205-2507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128835363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health