Provider Demographics
NPI:1013516566
Name:HODGSON, ERIN ANN (DNP, ARNP)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:ANN
Last Name:HODGSON
Suffix:
Gender:F
Credentials:DNP, ARNP
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:ANN
Other - Last Name:GITTINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4280 SERGEANT RD STE 225
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51106-4634
Mailing Address - Country:US
Mailing Address - Phone:712-202-2255
Mailing Address - Fax:712-202-2989
Practice Address - Street 1:4280 SERGEANT RD STE 225
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106-4634
Practice Address - Country:US
Practice Address - Phone:712-202-2255
Practice Address - Fax:712-202-2989
Is Sole Proprietor?:No
Enumeration Date:2020-10-25
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAG161038363LP0200X
IAC160852363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics