Healthcare Provider Details

I. General information

NPI: 1508414145
Provider Name (Legal Business Name): ERICA PRICE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2019
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1019 PADUCAH RD STE C
MAYFIELD KY
42066-3616
US

IV. Provider business mailing address

1019 PADUCAH RD STE C
MAYFIELD KY
42066-3616
US

V. Phone/Fax

Practice location:
  • Phone: 270-310-9200
  • Fax:
Mailing address:
  • Phone: 270-310-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3013780
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3013780
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3013780
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: