Provider Demographics
NPI:1831524248
Name:BRAND, ERICA (APRN)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:BRAND
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 W YORK ST APT 4407
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1580
Mailing Address - Country:US
Mailing Address - Phone:316-648-5284
Mailing Address - Fax:
Practice Address - Street 1:250 W YORK ST APT 4407
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1580
Practice Address - Country:US
Practice Address - Phone:316-648-5284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024171131363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily