Provider Demographics
NPI:1902852452
Name:ERIKSEN, SHARON KAY (CNRN, CNP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:KAY
Last Name:ERIKSEN
Suffix:
Gender:F
Credentials:CNRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E 28TH ST
Mailing Address - Street 2:305 PIPER BLDG.
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-3723
Mailing Address - Country:US
Mailing Address - Phone:612-871-7278
Mailing Address - Fax:612-879-7189
Practice Address - Street 1:800 E 28TH ST
Practice Address - Street 2:305 PIPER BLDG.
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-3723
Practice Address - Country:US
Practice Address - Phone:612-871-7278
Practice Address - Fax:612-879-7189
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1003491363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43974900Medicaid
MN343222000Medicaid