Provider Demographics
NPI:1508308651
Name:GAGLIARDI, ERICA ROSE (RN, MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:ROSE
Last Name:GAGLIARDI
Suffix:
Gender:F
Credentials:RN, MSN, FNP-C
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:3451 E 12TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-3463
Mailing Address - Country:US
Mailing Address - Phone:510-535-3319
Mailing Address - Fax:510-535-4187
Practice Address - Street 1:1545 DIVISADERO ST FL 2
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-3400
Practice Address - Country:US
Practice Address - Phone:415-353-7900
Practice Address - Fax:415-353-2640
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-07
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CANP95005277363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily