Provider Demographics
NPI:1447570460
Name:ERICKSON, CORAZON ESPINA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:CORAZON
Middle Name:ESPINA
Last Name:ERICKSON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC ST
Mailing Address - Street 2:BOX 356155
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6155
Mailing Address - Country:US
Mailing Address - Phone:206-598-9271
Mailing Address - Fax:206-598-6576
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:BOX 356155
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-6155
Practice Address - Country:US
Practice Address - Phone:206-598-9271
Practice Address - Fax:206-598-6576
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00138515163W00000X
WAAP60001348363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse