Provider Demographics
NPI:1598233959
Name:CADLE, ERIKA (APRN)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:CADLE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5200 COMMERCE CROSSINGS DR FL 3
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229-2182
Mailing Address - Country:US
Mailing Address - Phone:502-253-4920
Mailing Address - Fax:502-489-5750
Practice Address - Street 1:2315 GREEN VALLEY RD STE 100
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4690
Practice Address - Country:US
Practice Address - Phone:812-945-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-05
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3012471363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily