Provider Demographics
NPI:1134566540
Name:ANGERT, ERICA B
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:B
Last Name:ANGERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 SHADOWBERRY CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-1668
Mailing Address - Country:US
Mailing Address - Phone:225-978-1507
Mailing Address - Fax:
Practice Address - Street 1:7901 SHADOWBERRY CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-1668
Practice Address - Country:US
Practice Address - Phone:804-592-0595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-24
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula