Provider Demographics
NPI:1255539474
Name:DICK, ERIKA JANE (CRNA)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:JANE
Last Name:DICK
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 64795
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-7795
Mailing Address - Country:US
Mailing Address - Phone:410-388-6704
Mailing Address - Fax:410-328-4124
Practice Address - Street 1:UNIVERSITY OF MARYLAND MEDICAL CENTER
Practice Address - Street 2:22 S GREEN STREET
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201
Practice Address - Country:US
Practice Address - Phone:410-328-6704
Practice Address - Fax:410-328-4124
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR178821367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered