Provider Demographics
NPI:1811319668
Name:OCKERMAN, ERIKA GRACE (CRNA)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:GRACE
Last Name:OCKERMAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 SHERON ST
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48362-2358
Mailing Address - Country:US
Mailing Address - Phone:810-577-5427
Mailing Address - Fax:
Practice Address - Street 1:47 SHERON ST
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48362-2358
Practice Address - Country:US
Practice Address - Phone:810-577-5427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-14
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704269741367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered