Healthcare Provider Details

I. General information

NPI: 1366618332
Provider Name (Legal Business Name): ERIKKA DANIENE TAYLOR MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2008
Last Update Date: 10/11/2024
Certification Date: 10/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3616 SHANNON RD STE 200
DURHAM NC
27707-3532
US

IV. Provider business mailing address

3616 SHANNON RD STE 200
DURHAM NC
27707-3532
US

V. Phone/Fax

Practice location:
  • Phone: 919-551-5503
  • Fax: 919-551-5499
Mailing address:
  • Phone: 919-551-5503
  • Fax: 919-551-5499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number2011-00111
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: