Provider Demographics
NPI:1013508217
Name:YONEY, ERIKA LYNNE (RN)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:LYNNE
Last Name:YONEY
Suffix:
Gender:F
Credentials:RN
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 1:3005 14TH AVE S
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-3907
Practice Address - Country:US
Practice Address - Phone:218-304-2597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-30
Last Update Date:2021-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1740149163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse