Healthcare Provider Details

I. General information

NPI: 1255943593
Provider Name (Legal Business Name): ERIKA LORRAINE LOPPATTO DNP, CRNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2020
Last Update Date: 02/06/2023
Certification Date: 02/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 KEY PKWY STE 102
FREDERICK MD
21702-4496
US

IV. Provider business mailing address

108 ALESSANDRA CT APT 175
FREDERICK MD
21702-4016
US

V. Phone/Fax

Practice location:
  • Phone: 240-215-1138
  • Fax:
Mailing address:
  • Phone: 443-974-2690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR222819
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number224953
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: