Provider Demographics
NPI:1558558007
Name:ERICKSON, DELIGHT FRANCES (APNP)
Entity Type:Individual
Prefix:MS
First Name:DELIGHT
Middle Name:FRANCES
Last Name:ERICKSON
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1253 W I ST
Mailing Address - Street 2:
Mailing Address - City:LOS BANOS
Mailing Address - State:CA
Mailing Address - Zip Code:93635-3930
Mailing Address - Country:US
Mailing Address - Phone:209-710-6333
Mailing Address - Fax:209-827-0554
Practice Address - Street 1:1253 W I ST
Practice Address - Street 2:
Practice Address - City:LOS BANOS
Practice Address - State:CA
Practice Address - Zip Code:93635-3930
Practice Address - Country:US
Practice Address - Phone:209-710-6333
Practice Address - Fax:209-827-0554
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-28
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR069757-8363LF0000X
CA265363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN36OtherMSBN