Provider Demographics
NPI:1891101713
Name:GATICA, ERMA (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ERMA
Middle Name:
Last Name:GATICA
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W COOPERATIVE WAY
Mailing Address - Street 2:STE 110
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-8209
Mailing Address - Country:US
Mailing Address - Phone:512-413-1617
Mailing Address - Fax:
Practice Address - Street 1:403 E 15TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-1437
Practice Address - Country:US
Practice Address - Phone:512-445-7783
Practice Address - Fax:512-703-1390
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP125988363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health