Provider Demographics
NPI:1629484084
Name:BOOKOUT, ERIKA MICHEL (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:MICHEL
Last Name:BOOKOUT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 EMPRESS ST
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-3404
Mailing Address - Country:US
Mailing Address - Phone:956-739-6055
Mailing Address - Fax:
Practice Address - Street 1:820 EMPRESS ST
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3404
Practice Address - Country:US
Practice Address - Phone:956-739-6055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-07
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126185363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily