Provider Demographics
NPI:1932618113
Name:AGLIANO, ERICA ANNE (DNP, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:ANNE
Last Name:AGLIANO
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:ANNE
Other - Last Name:PETERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:1481 E PIONEER RD
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-9623
Mailing Address - Country:US
Mailing Address - Phone:801-679-6669
Mailing Address - Fax:801-203-9216
Practice Address - Street 1:1481 E PIONEER RD
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-9623
Practice Address - Country:US
Practice Address - Phone:801-679-6669
Practice Address - Fax:801-203-9216
Is Sole Proprietor?:No
Enumeration Date:2017-09-20
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8864117-3102163W00000X
UT8864117-4405363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner