Provider Demographics
NPI:1952935082
Name:QUIGLEY, ERICA ALEXANDRA (ARNP)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:ALEXANDRA
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:ALEXANDRA
Other - Last Name:PODHAJSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:2650 170TH ST
Mailing Address - Street 2:
Mailing Address - City:TRAER
Mailing Address - State:IA
Mailing Address - Zip Code:50675-9307
Mailing Address - Country:US
Mailing Address - Phone:319-239-8773
Mailing Address - Fax:
Practice Address - Street 1:402 SIEGEL ST
Practice Address - Street 2:
Practice Address - City:TAMA
Practice Address - State:IA
Practice Address - Zip Code:52339-2302
Practice Address - Country:US
Practice Address - Phone:641-484-3333
Practice Address - Fax:641-484-3208
Is Sole Proprietor?:No
Enumeration Date:2020-02-27
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA158109363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner