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NPI 1124623624

NPI 1124623624 : ERIKA VANDER WERF CNP : GROVE CITY, OH

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General NPI Number Information
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    NPI Number           |    1124623624
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    Entity Type          |    Individual 
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    Provider Name        |    ERIKA VANDER WERF CNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/02/2020
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    Last Update Date     |    05/08/2025
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Provider Practice Location Address
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    Address Line         |    5965 HOOVER RD 
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    City                 |    GROVE CITY
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    State                |    OH
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    Zip                  |    43123-9702
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    Country              |    US
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    Telephone            |    614-317-2188
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 932958 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44193-0028
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    APRN.CNP.0027719
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    APRN.CNP.0027719
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    License Number State |    OH
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