NPI Profile for ERICA E DE SANTOS in HOLLIS, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1396355350 |
|
| Status | Active | |
| Credentials | A.P.R.N | |
| Entity | Individual | |
| Enumeration date | 08/05/2020 | |
| Last updated | 12/04/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ERICA E DE SANTOS
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