Provider Demographics
NPI:1922794536
Name:NOLA, ERICA (MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:NOLA
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10910 TECHNOLOGY TER
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34211-4930
Mailing Address - Country:US
Mailing Address - Phone:941-727-7772
Mailing Address - Fax:941-216-4836
Practice Address - Street 1:10910 TECHNOLOGY TER
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34211-4930
Practice Address - Country:US
Practice Address - Phone:941-727-7772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-17
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11028727363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily