Provider Demographics
NPI:1518416106
Name:LINN, ERICA SOULE (APNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:SOULE
Last Name:LINN
Suffix:
Gender:F
Credentials:APNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1708 PARAMOUNT CT
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53186-3967
Mailing Address - Country:US
Mailing Address - Phone:262-522-8640
Mailing Address - Fax:262-522-8649
Practice Address - Street 1:1708 PARAMOUNT CT
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53186-3967
Practice Address - Country:US
Practice Address - Phone:262-522-8640
Practice Address - Fax:262-522-8649
Is Sole Proprietor?:No
Enumeration Date:2016-09-24
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7290-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily