Provider Demographics
NPI:1376153858
Name:FALK, ERICA ELIZABETH
Entity Type:Individual
Prefix:MS
First Name:ERICA
Middle Name:ELIZABETH
Last Name:FALK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 223
Mailing Address - Street 2:
Mailing Address - City:MOSS BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:94038-0223
Mailing Address - Country:US
Mailing Address - Phone:650-392-4116
Mailing Address - Fax:
Practice Address - Street 1:1029 PEARL AVE # 223
Practice Address - Street 2:
Practice Address - City:MOSS BEACH
Practice Address - State:CA
Practice Address - Zip Code:94038-9787
Practice Address - Country:US
Practice Address - Phone:650-392-4116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-09
Last Update Date:2020-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula