Provider Demographics
NPI:1912105396
Name:TOBIN, ERICA CONTINA (CNA)
Entity Type:Individual
Prefix:MS
First Name:ERICA
Middle Name:CONTINA
Last Name:TOBIN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 JORDANS POND LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28214-7148
Mailing Address - Country:US
Mailing Address - Phone:704-713-2243
Mailing Address - Fax:
Practice Address - Street 1:1024 JORDANS POND LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28214-7148
Practice Address - Country:US
Practice Address - Phone:704-713-2243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health