MEDICARE: MISS ERICA RENEE FLOWERS CNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	376K00000X	Nurse's Aide	OH
2	171M00000X	Case Manager/Care Coordinator
3	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1033932744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ERICA RENEE FLOWERS CNA

Provider Business Mailing Address
First Line	:	853 REIST AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45417-3328
Country	:	US
Telephone Number	:	312-965-4907
Fax Number	:

Provider Business Practice Location Address
First Line	:	853 REIST AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45417-3328
Country	:	US
Telephone Number	:	312-965-4907
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2024
Last Update Date	:	10/09/2025

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