Healthcare Provider Details

I. General information

NPI: 1134606965
Provider Name (Legal Business Name): ERIKA MARIA NELSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2018
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3326 WATTERS RD
PASADENA TX
77504-2020
US

IV. Provider business mailing address

3326 WATTERS RD
PASADENA TX
77504-2020
US

V. Phone/Fax

Practice location:
  • Phone: 832-386-9200
  • Fax:
Mailing address:
  • Phone: 832-386-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF11190141
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number771540
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: