Provider Demographics
NPI:1811165111
Name:DEMARAIS, ERICA CHRISTINE (RN)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:CHRISTINE
Last Name:DEMARAIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:ERICA
Other - Middle Name:CHRISTINE
Other - Last Name:WIISANEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:5070 FOXFIELD DR NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901
Mailing Address - Country:US
Mailing Address - Phone:507-285-1247
Mailing Address - Fax:
Practice Address - Street 1:5070 FOXFIELD DR NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901
Practice Address - Country:US
Practice Address - Phone:507-285-1247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR145068-8163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health