Provider Demographics
NPI:1245104231
Name:NELSON, ERICA CHRISTINE (CD, PCD, CLC)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:CHRISTINE
Last Name:NELSON
Suffix:
Gender:F
Credentials:CD, PCD, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:556 34TH AVE N
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52732-1581
Mailing Address - Country:US
Mailing Address - Phone:563-219-2190
Mailing Address - Fax:
Practice Address - Street 1:556 34TH AVE N
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732-1581
Practice Address - Country:US
Practice Address - Phone:563-219-2190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA362186174N00000X
IA1490038374J00000X
IA1459792374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN