Provider Demographics
NPI:1366639437
Name:OWENS, ERICKA AMES (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:ERICKA
Middle Name:AMES
Last Name:OWENS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16405 SUNNY GLENN AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-3776
Mailing Address - Country:US
Mailing Address - Phone:216-581-3277
Mailing Address - Fax:
Practice Address - Street 1:16405 SUNNY GLENN AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-3776
Practice Address - Country:US
Practice Address - Phone:216-581-3277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN282416163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health