Provider Demographics
NPI:1689675381
Name:MEYER, ERICA (NP)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:MEYER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 BAUGHMANS LN STE 270
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4650
Mailing Address - Country:US
Mailing Address - Phone:301-846-0300
Mailing Address - Fax:410-601-4938
Practice Address - Street 1:110 BAUGHMANS LN STE 270
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4650
Practice Address - Country:US
Practice Address - Phone:301-663-6048
Practice Address - Fax:410-601-4938
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF381627363LP0200X
MDR205897363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics