Healthcare Provider Details

I. General information

NPI: 1821536897
Provider Name (Legal Business Name): ERICA LYNNE EGGMAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2017
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12480 N RANCHO VISTOSO BLVD STE 130
ORO VALLEY AZ
85755-1993
US

IV. Provider business mailing address

3677 W CAMINO CHRISTY
TUCSON AZ
85742-8767
US

V. Phone/Fax

Practice location:
  • Phone: 520-812-5580
  • Fax: 520-812-5581
Mailing address:
  • Phone: 520-490-4177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP9869
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: