Provider Demographics
NPI:1568147411
Name:CHERRY, ERIKA GAYLE (BSN, RN)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:GAYLE
Last Name:CHERRY
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:MS
Other - First Name:ERIKA
Other - Middle Name:GAYLE
Other - Last Name:WILLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:1503 29TH ST SE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-7864
Mailing Address - Country:US
Mailing Address - Phone:253-350-5133
Mailing Address - Fax:
Practice Address - Street 1:1503 29TH ST SE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-7864
Practice Address - Country:US
Practice Address - Phone:253-350-5133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV835021163WP0808X
WARN60087343163WP0808X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse