Provider Demographics
NPI:1538661525
Name:SEBRING, ERICA LEIGH
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:LEIGH
Last Name:SEBRING
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 1:10 SELLERS RD APT B
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21402-1207
Mailing Address - Country:US
Mailing Address - Phone:360-969-4271
Mailing Address - Fax:
Practice Address - Street 1:10 SELLERS RD APT B
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21402-1207
Practice Address - Country:US
Practice Address - Phone:360-969-4271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-06
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula