Provider Demographics
NPI:1881867349
Name:SYKES MCKEEN, ERIKA DAWN (NMD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:DAWN
Last Name:SYKES MCKEEN
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:DR
Other - First Name:ERIKA
Other - Middle Name:DAWN
Other - Last Name:MCKEEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NMD
Mailing Address - Street 1:34225 N 27TH DR
Mailing Address - Street 2:SUITE 114
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085
Mailing Address - Country:US
Mailing Address - Phone:623-266-1700
Mailing Address - Fax:
Practice Address - Street 1:34225 N 27TH DR
Practice Address - Street 2:SUITE 114
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085
Practice Address - Country:US
Practice Address - Phone:623-266-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-04
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ07-1035175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ07-1035OtherAZ LICENSE NUMBER