Healthcare Provider Details

I. General information

NPI: 1982055257
Provider Name (Legal Business Name): ERIKA DENACI WOODFOX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2016
Last Update Date: 06/22/2023
Certification Date: 06/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4320 HENSON DR
WILMINGTON NC
28405-7424
US

IV. Provider business mailing address

1202 MEDICAL CENTER DR
WILMINGTON NC
28401-7307
US

V. Phone/Fax

Practice location:
  • Phone: 910-763-2072
  • Fax: 910-251-2067
Mailing address:
  • Phone: 910-341-3000
  • Fax: 910-251-2067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5008981
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number20261
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: