Provider Demographics
NPI:1578337523
Name:GUNDREY, ERIKA (FNP-C)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:GUNDREY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5369 S CALLE SANTA CRUZ STE 145
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85706-3963
Mailing Address - Country:US
Mailing Address - Phone:520-573-7500
Mailing Address - Fax:
Practice Address - Street 1:5369 S CALLE SANTA CRUZ STE 145
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85706-3963
Practice Address - Country:US
Practice Address - Phone:520-370-5474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ300056363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily