Provider Demographics
NPI:1992186142
Name:TAYLOR-DANIEL, ERICKA (MSN,APRN,PMHNP-BC,)
Entity Type:Individual
Prefix:MRS
First Name:ERICKA
Middle Name:
Last Name:TAYLOR-DANIEL
Suffix:
Gender:F
Credentials:MSN,APRN,PMHNP-BC,
Other - Prefix:
Other - First Name:ERICKA
Other - Middle Name:
Other - Last Name:DANIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN,APRN,PMHNP-BC,
Mailing Address - Street 1:1001 S BRADFORD ST STE 7
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-4153
Mailing Address - Country:US
Mailing Address - Phone:302-264-9436
Mailing Address - Fax:302-264-9702
Practice Address - Street 1:1001 S BRADFORD ST STE 7
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-4153
Practice Address - Country:US
Practice Address - Phone:302-264-9436
Practice Address - Fax:302-264-9702
Is Sole Proprietor?:No
Enumeration Date:2015-06-13
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0000855363LF0000X
DEL8-0010219363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily