Provider Demographics
NPI:1982055257
Name:WOODFOX, ERIKA DENACI
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:DENACI
Last Name:WOODFOX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7307
Mailing Address - Country:US
Mailing Address - Phone:910-341-3000
Mailing Address - Fax:910-251-2067
Practice Address - Street 1:4320 HENSON DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-7424
Practice Address - Country:US
Practice Address - Phone:910-763-2072
Practice Address - Fax:910-251-2067
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20261363LP2300X
NC5008981363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care