Healthcare Provider Details

I. General information

NPI: 1265961213
Provider Name (Legal Business Name): ERIKA NICOLE HENDERSON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIKA N FOX

II. Dates (important events)

Enumeration Date: 06/05/2017
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33820 OLD VALLEY PIKE STE 2
STRASBURG VA
22657-3793
US

IV. Provider business mailing address

220 CAMPUS BLVD STE 100
WINCHESTER VA
22601-2896
US

V. Phone/Fax

Practice location:
  • Phone: 540-459-1310
  • Fax: 540-459-1311
Mailing address:
  • Phone: 540-536-5100
  • Fax: 540-536-0235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2066
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110006538
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: