Provider Demographics
NPI:1336548817
Name:KIELHORN, ERIKA SUZANNE (FNP-C)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:SUZANNE
Last Name:KIELHORN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MALTON RD STE 7
Mailing Address - Street 2:
Mailing Address - City:NEGAUNEE
Mailing Address - State:MI
Mailing Address - Zip Code:49866-2002
Mailing Address - Country:US
Mailing Address - Phone:906-485-2347
Mailing Address - Fax:906-486-1150
Practice Address - Street 1:100 MALTON RD STE 7
Practice Address - Street 2:
Practice Address - City:NEGAUNEE
Practice Address - State:MI
Practice Address - Zip Code:49866-2002
Practice Address - Country:US
Practice Address - Phone:906-485-2347
Practice Address - Fax:906-486-1150
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-20
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704242568363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily