Provider Demographics
NPI:1689672404
Name:SCHOTT, ERICA L (FNP)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:L
Last Name:SCHOTT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 E DIVISADERO ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721-1431
Mailing Address - Country:US
Mailing Address - Phone:559-443-2682
Mailing Address - Fax:559-443-2681
Practice Address - Street 1:1510 E HERNDON AVE STE 230
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3392
Practice Address - Country:US
Practice Address - Phone:559-450-2663
Practice Address - Fax:559-450-2724
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA534132163W00000X
CA14746363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAQ11884Medicare UPIN
CA534132OtherRN LICENSE
CAQ11884Medicare UPIN
CA14746OtherNP FURNISHING LICENSE
CAZZZ28757ZMedicare ID - Type Unspecified