Provider Demographics
NPI:1518440171
Name:HAYASHIHARA, ERIKA R
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:R
Last Name:HAYASHIHARA
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 1:10245 SW 154TH CIRCLE CT APT 108
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-3796
Mailing Address - Country:US
Mailing Address - Phone:786-315-1156
Mailing Address - Fax:
Practice Address - Street 1:10245 SW 154TH CIRCLE CT APT 108
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-3796
Practice Address - Country:US
Practice Address - Phone:786-315-1156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-10
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9346191163W00000X
FL9346191363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse