Provider Demographics
NPI:1184708901
Name:ERIKSON, DAWN (FNP-C)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:ERIKSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 MARTIN LUTHER KING JR. BLVD.
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2656
Mailing Address - Country:US
Mailing Address - Phone:919-933-3301
Mailing Address - Fax:919-933-3375
Practice Address - Street 1:930 MARTIN LUTHER KING, JR. BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2656
Practice Address - Country:US
Practice Address - Phone:919-933-3301
Practice Address - Fax:919-933-3375
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC126326163W00000X
NC200749363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC43454OtherBCBS
NC0151824OtherUNITEDHEALTHCARE-PITTSBOR
NC0151826OtherUNITEDHEALTHCARE-SANFORD
NC7000953Medicaid
NC152734500OtherUS DEPT OF LABOR
NCS21553Medicare UPIN
NC2594084Medicare PIN
NC0151824OtherUNITEDHEALTHCARE-PITTSBOR