Healthcare Provider Details

I. General information

NPI: 1538077359
Provider Name (Legal Business Name): ERIKA HOMRIGHAUSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 N WALNUT ST
DOVER OH
44622-2852
US

IV. Provider business mailing address

520 N WALNUT ST
DOVER OH
44622-2852
US

V. Phone/Fax

Practice location:
  • Phone: 330-364-7148
  • Fax:
Mailing address:
  • Phone: 330-364-7123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN.429652
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: