Provider Demographics
NPI:1770372260
Name:WIKNER, ERIN GRACE
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:GRACE
Last Name:WIKNER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20303 OYSTER BAY TER
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20886-5908
Mailing Address - Country:US
Mailing Address - Phone:301-366-1847
Mailing Address - Fax:
Practice Address - Street 1:20303 OYSTER BAY TER
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20886-5908
Practice Address - Country:US
Practice Address - Phone:301-250-8235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10-202318374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula