Provider Demographics
NPI:1518377076
Name:WEBSTER, ERICA DENISE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:DENISE
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:ERICA
Other - Middle Name:DENISE
Other - Last Name:LITTLEJOHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:3456 EDISON RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44121-1526
Mailing Address - Country:US
Mailing Address - Phone:216-288-2759
Mailing Address - Fax:
Practice Address - Street 1:3456 EDISON RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44121-1526
Practice Address - Country:US
Practice Address - Phone:216-288-2759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.145780-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse