Provider Demographics
NPI:1245947043
Name:STRAWTHER, ERICA LEE (LVN)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:LEE
Last Name:STRAWTHER
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:HOGERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7893 E VIEWRIM DR
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-2132
Mailing Address - Country:US
Mailing Address - Phone:562-701-0585
Mailing Address - Fax:
Practice Address - Street 1:11721 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-3674
Practice Address - Country:US
Practice Address - Phone:562-949-8544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA702405164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse