Provider Demographics
NPI:1982878302
Name:HOPKINS, ERIC LYNN (LPN)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:LYNN
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 E 4TH AVE
Mailing Address - Street 2:#91
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-2664
Mailing Address - Country:US
Mailing Address - Phone:907-428-0712
Mailing Address - Fax:
Practice Address - Street 1:337 E 4TH AVE
Practice Address - Street 2:#91
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-2664
Practice Address - Country:US
Practice Address - Phone:907-428-0712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK8353164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse