Provider Demographics
NPI:1013508217
Name:YONEY, ERIKA LYNNE (APRN)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:LYNNE
Last Name:YONEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:LYNNE
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3005 14TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-3907
Mailing Address - Country:US
Mailing Address - Phone:218-304-2597
Mailing Address - Fax:
Practice Address - Street 1:301 NP AVE N
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58102-4835
Practice Address - Country:US
Practice Address - Phone:701-271-3344
Practice Address - Fax:701-271-3347
Is Sole Proprietor?:No
Enumeration Date:2021-01-30
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1740149163W00000X
NDR49864163W00000X
MN11778363LP0808X
ND200088363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse