Provider Demographics
NPI:1699227660
Name:GREEN, ERIKA RENEE (APRN FNP)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:RENEE
Last Name:GREEN
Suffix:
Gender:F
Credentials:APRN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16001 PARK TEN PL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-5135
Mailing Address - Country:US
Mailing Address - Phone:713-407-3000
Mailing Address - Fax:
Practice Address - Street 1:16001 PARK TEN PL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-5135
Practice Address - Country:US
Practice Address - Phone:713-407-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-26
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131827363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care