Healthcare Provider Details

I. General information

NPI: 1992269203
Provider Name (Legal Business Name): ERIKA ELIZABETH DIXON CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2019
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 N PHILADELPHIA BLVD
ABERDEEN MD
21001-2511
US

IV. Provider business mailing address

1902 WALTMAN RD
EDGEWOOD MD
21040-2338
US

V. Phone/Fax

Practice location:
  • Phone: 443-987-2272
  • Fax: 636-242-5084
Mailing address:
  • Phone: 443-987-2272
  • Fax: 636-242-5084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR163511
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: