Healthcare Provider Details

I. General information

NPI: 1437608809
Provider Name (Legal Business Name): ERICA L OCHOA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERICA L BLANCO APRN

II. Dates (important events)

Enumeration Date: 09/27/2016
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 CREWS RD STE E
MATTHEWS NC
28105-7582
US

IV. Provider business mailing address

1207 CREWS RD STE E
MATTHEWS NC
28105-7582
US

V. Phone/Fax

Practice location:
  • Phone: 704-841-8162
  • Fax:
Mailing address:
  • Phone: 704-841-8162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9363994
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5021505
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: