Healthcare Provider Details

I. General information

NPI: 1992186142
Provider Name (Legal Business Name): ERICKA TAYLOR-DANIEL MSN,APRN,PMHNP-BC,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERICKA DANIEL MSN,APRN,PMHNP-BC,

II. Dates (important events)

Enumeration Date: 06/13/2015
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 S BRADFORD ST STE 7
DOVER DE
19904-4153
US

IV. Provider business mailing address

1001 S BRADFORD ST STE 7
DOVER DE
19904-4153
US

V. Phone/Fax

Practice location:
  • Phone: 302-264-9436
  • Fax: 302-264-9702
Mailing address:
  • Phone: 302-264-9436
  • Fax: 302-264-9702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0000855
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberL8-0010219
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: