Healthcare Provider Details

I. General information

NPI: 1710865829
Provider Name (Legal Business Name): ERICA ZAVAKOS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERICA COMER

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3958 BROWN PARK DR STE D
HILLIARD OH
43026-1160
US

IV. Provider business mailing address

PO BOX 1431 DEPT 400
CHARLOTTE NC
28201
US

V. Phone/Fax

Practice location:
  • Phone: 260-483-9081
  • Fax: 260-483-9196
Mailing address:
  • Phone: 604-839-0812
  • Fax: 260-483-9196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0038538
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: