Healthcare Provider Details

I. General information

NPI: 1699591107
Provider Name (Legal Business Name): ERIKA MUHAMMAD AAB, BA, MA CPD, CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2024
Last Update Date: 11/29/2024
Certification Date: 11/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E 21ST ST
ERIE PA
16503-1946
US

IV. Provider business mailing address

301 E 21ST ST
ERIE PA
16503-1946
US

V. Phone/Fax

Practice location:
  • Phone: 814-812-0260
  • Fax:
Mailing address:
  • Phone: 814-812-0260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number333290
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number20531
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: