Provider Demographics
NPI:1598370850
Name:ERICA, ERIC GIOVANNI (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:GIOVANNI
Last Name:ERICA
Suffix:
Gender:M
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18718 JUNE GROVE LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-7402
Mailing Address - Country:US
Mailing Address - Phone:832-851-0510
Mailing Address - Fax:
Practice Address - Street 1:18718 JUNE GROVE LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-7402
Practice Address - Country:US
Practice Address - Phone:832-851-0510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1012848363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily