Healthcare Provider Details

I. General information

NPI: 1982497525
Provider Name (Legal Business Name): ERICA MARIE SLOAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 E 17TH ST STE 112
COSTA MESA CA
92627-3854
US

IV. Provider business mailing address

14 GLADSTONE
IRVINE CA
92606-7696
US

V. Phone/Fax

Practice location:
  • Phone: 949-877-2720
  • Fax:
Mailing address:
  • Phone: 714-313-5390
  • Fax: 714-313-5390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number95026008
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: