MEDICARE: ERICK DEONARINE RN

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
1	163W00000X	Registered Nurse	1694110	CO

General Provider Information

NPI Number	:	1962340091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICK DEONARINE RN

Provider Business Mailing Address
First Line	:	2091 ZENATO CT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80921-7685
Country	:	US
Telephone Number	:	516-445-6322
Fax Number	:

Provider Business Practice Location Address
First Line	:	2091 ZENATO CT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80921-7685
Country	:	US
Telephone Number	:	516-445-6322
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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