Healthcare Provider Details

I. General information

NPI: 1851158893
Provider Name (Legal Business Name): MARGARET ERICKSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2024
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6045 S FORT APACHE RD STE 110
LAS VEGAS NV
89148-5565
US

IV. Provider business mailing address

2920 SUMTER VALLEY CIR
HENDERSON NV
89052-6877
US

V. Phone/Fax

Practice location:
  • Phone: 702-948-5095
  • Fax: 702-948-5115
Mailing address:
  • Phone: 702-912-9204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN88255
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: