Provider Demographics
NPI:1245605328
Name:BROBBEY, ERICA NICOLE (NP)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:NICOLE
Last Name:BROBBEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:NICOLE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:7918 ATLANTIC BREEZE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4121
Mailing Address - Country:US
Mailing Address - Phone:847-987-4778
Mailing Address - Fax:
Practice Address - Street 1:6501 S FRY RD
Practice Address - Street 2:SUITE # 1000
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3376
Practice Address - Country:US
Practice Address - Phone:832-260-0670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-01
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP124030363L00000X
TX832723363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner