Provider Demographics
NPI:1811794431
Name:CANTERBURY, ERICA (NP)
Entity type:Individual
Prefix:MS
First Name:ERICA
Middle Name:
Last Name:CANTERBURY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:ERICA
Other - Middle Name:PAULINE
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1901 HALKIN RD
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-1950
Mailing Address - Country:US
Mailing Address - Phone:469-989-7177
Mailing Address - Fax:
Practice Address - Street 1:1901 HALKIN RD
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-1950
Practice Address - Country:US
Practice Address - Phone:469-989-7177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-01
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1057398363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health