Provider Demographics
NPI:1598152209
Name:KARP, ERICA LEIGH (CRNA)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:LEIGH
Last Name:KARP
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:LEIGH
Other - Last Name:BERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:7700 W SUNRISE BLVD
Mailing Address - Street 2:2ND FL - MAILSTOP PL-14
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-4113
Mailing Address - Country:US
Mailing Address - Phone:954-939-5451
Mailing Address - Fax:954-851-1746
Practice Address - Street 1:8201 W BROWARD BLVD
Practice Address - Street 2:WESTSIDE REGIONAL MEDICAL CENTER
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2701
Practice Address - Country:US
Practice Address - Phone:954-476-3911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-20
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9302707367500000X
FLARNP9302707367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered