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General NPI Number Information
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NPI Number | 1972909729
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Entity Type | Individual
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Provider Name | ERICKA STURSA-PATENAUDE APRN-RX, FNP, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 11/06/2014
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 1516 MALABEY ST
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City | KAILUA
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State | HI
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Zip | 96734-5020
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Country | US
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Telephone | 210-251-7452
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Fax |
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Provider Business Mailing Address
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Address Line | 1516 MALABEY ST
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City | KAILUA
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State | HI
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Zip | 96734-5020
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Country | US
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Telephone | 210-251-7452
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 026.0079136
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN-4511-0
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 867436
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L58165
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | RN-108915
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License Number State | HI
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