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NPI Code Detail

MEDICARE: ERIKA J. AXEEN MD

MEDICARE: ERIKA J. AXEEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology Physician0101263252VA

General Provider Information

NPI Number : 1154610699
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA J. AXEEN MD
Provider Business Mailing Address
First Line : 213 S JEFFERSON ST STE 1006
Second Line :
City : ROANOKE
State : VA
Zip : 24011-1713
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4348 ELECTRIC RD
Second Line :
City : ROANOKE
State : VA
Zip : 24018-0720
Country : US
Telephone Number : 540-769-0976
Fax Number : 540-857-5392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2011
Last Update Date : 01/27/2026

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