Healthcare Provider Details

I. General information

NPI: 1447845409
Provider Name (Legal Business Name): ERICA LERMA CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2021
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 ENCINO PL NE STE 4
ALBUQUERQUE NM
87102-2624
US

IV. Provider business mailing address

717 ENCINO PL NE STE 4
ALBUQUERQUE NM
87102-2624
US

V. Phone/Fax

Practice location:
  • Phone: 505-508-3458
  • Fax: 505-433-2475
Mailing address:
  • Phone: 505-508-3458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number63230
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: