Healthcare Provider Details
I. General information
NPI: 1245866151
Provider Name (Legal Business Name): ERIKA NICOLE AGUILAR APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/23/2020
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
350 AUSTIN GRAYBILL RD
NORTH AUGUSTA SC
29860-9251
US
IV. Provider business mailing address
350 AUSTIN GRAYBILL RD
NORTH AUGUSTA SC
29860-9251
US
V. Phone/Fax
- Phone: 803-843-8600
- Fax:
- Phone: 803-843-8600
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 23628 |
| License Number State | SC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | RN244670 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: