Provider Demographics
NPI:1821536897
Name:EGGMAN, ERICA LYNNE (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:ERICA
Middle Name:LYNNE
Last Name:EGGMAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11951 N 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-8593
Mailing Address - Country:US
Mailing Address - Phone:520-347-8800
Mailing Address - Fax:520-372-0388
Practice Address - Street 1:11951 N 1ST AVE
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85737-8593
Practice Address - Country:US
Practice Address - Phone:520-347-8800
Practice Address - Fax:520-372-0388
Is Sole Proprietor?:No
Enumeration Date:2017-02-09
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP9869363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZF1216069OtherAMERICAN ASSOCIATION OF NURSE PRACTITIONERS
AZAP9869OtherARIZONA STATE BOARD OF NURSING