Provider Demographics
NPI:1801681804
Name:FUSS, ERICA ELIZABETH
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:ELIZABETH
Last Name:FUSS
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:PO BOX 1327
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69363-1327
Mailing Address - Country:US
Mailing Address - Phone:308-632-8016
Mailing Address - Fax:
Practice Address - Street 1:512 E 17TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-3270
Practice Address - Country:US
Practice Address - Phone:308-632-8776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant