Provider Demographics
NPI:1891330346
Name:HOLMES, ERIKA NATIRA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:NATIRA
Last Name:HOLMES
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6918 LENHART DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-9505
Mailing Address - Country:US
Mailing Address - Phone:708-663-0249
Mailing Address - Fax:
Practice Address - Street 1:6918 LENHART DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-9505
Practice Address - Country:US
Practice Address - Phone:708-663-0249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-07
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5012515363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health