Healthcare Provider Details

I. General information

NPI: 1316861180
Provider Name (Legal Business Name): ERIKA JOY PURULESKI PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13166 N 81ST AVE
PEORIA AZ
85381-4964
US

IV. Provider business mailing address

7865 W BELL RD # 1170
PEORIA AZ
85382-3803
US

V. Phone/Fax

Practice location:
  • Phone: 602-576-8276
  • Fax:
Mailing address:
  • Phone: 602-576-8276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number343767
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: