Provider Demographics
NPI:1245907591
Name:HOMME, ERICA (FNP)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:
Last Name:HOMME
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 TIBURON LN
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-2245
Mailing Address - Country:US
Mailing Address - Phone:716-969-6208
Mailing Address - Fax:
Practice Address - Street 1:2240 N FOREST RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14221-1357
Practice Address - Country:US
Practice Address - Phone:716-568-4456
Practice Address - Fax:716-929-8940
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY348208363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily