=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427934538
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERIKA ELIZABETH NASRALLAH FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/13/2025
-----------------------------------------------------
Last Update Date | 11/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13555 W MCDOWELL RD STE 205
-----------------------------------------------------
City | GOODYEAR
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85395-2626
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 623-295-1190
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13555 W MCDOWELL RD STE 205
-----------------------------------------------------
City | GOODYEAR
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85395-2626
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-922-4072
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 288687
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------