Healthcare Provider Details

I. General information

NPI: 1528377934
Provider Name (Legal Business Name): ERIKA DAWN ENOS N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2010
Last Update Date: 11/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 26TH ST
DENVER CO
80205-2645
US

IV. Provider business mailing address

2417 VINE ST
DENVER CO
80205-5655
US

V. Phone/Fax

Practice location:
  • Phone: 720-295-9439
  • Fax:
Mailing address:
  • Phone: 510-410-8473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1767
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: