Provider Demographics
NPI:1023401791
Name:TOLENTINO, ERICA M (NP)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:M
Last Name:TOLENTINO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:PO BOX 40412
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-1255
Mailing Address - Country:US
Mailing Address - Phone:248-266-4200
Mailing Address - Fax:855-618-6655
Practice Address - Street 1:355 E CAMPUS VIEW BLVD STE 180
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-5680
Practice Address - Country:US
Practice Address - Phone:614-840-1688
Practice Address - Fax:614-840-1689
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-05
Last Update Date:2025-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH813480363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care