Healthcare Provider Details

I. General information

NPI: 1619326972
Provider Name (Legal Business Name): ERIKA MURTHA AGAC-NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2016
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 N CENTER RD STE 300
SAGINAW MI
48603-7920
US

IV. Provider business mailing address

3400 N CENTER RD STE 300
SAGINAW MI
48603-7920
US

V. Phone/Fax

Practice location:
  • Phone: 989-583-7380
  • Fax:
Mailing address:
  • Phone: 989-583-7380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number4704329003
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: