Provider Demographics
NPI:1689832305
Name:VOSHELL, ERICA NICOLE
Entity Type:Individual
Prefix:MS
First Name:ERICA
Middle Name:NICOLE
Last Name:VOSHELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 MICHIGAN CT
Mailing Address - Street 2:APT D
Mailing Address - City:WELLINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:67152
Mailing Address - Country:US
Mailing Address - Phone:316-737-4289
Mailing Address - Fax:
Practice Address - Street 1:1310 MICHIGAN ST
Practice Address - Street 2:APT D
Practice Address - City:WELLINGTON
Practice Address - State:KS
Practice Address - Zip Code:67152-4639
Practice Address - Country:US
Practice Address - Phone:316-737-4289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKO1 80 9031124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist