Provider Demographics
NPI:1740458751
Name:MORIN, ERICA DANIELLE (RN)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:DANIELLE
Last Name:MORIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10069 E PARADISE DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-5918
Mailing Address - Country:US
Mailing Address - Phone:602-604-0548
Mailing Address - Fax:
Practice Address - Street 1:711 E MISSOURI AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-2824
Practice Address - Country:US
Practice Address - Phone:602-604-0548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN088094163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZRN088094OtherRN