ERICA L DESSART NP NPI 1174958193

NPI Information

NPI: 1174958193
Provider Name: ERICA L DESSART, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
5300 MEMORIAL DR
TWO RIVERS, WI
ZIP 54241
Phone: (920) 793-7420
Get Directions

Erica L Dessart, NP is a psychiatric/mental health nurse practitioner in Two Rivers, WI with 11 years of experience. Erica L Dessart, NP NPI is 1174958193. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5300 MEMORIAL DR
TWO RIVERS, WI
ZIP 54241
Phone: (920) 793-7420
Fax: (920) 793-7430

The NPI 1174958193 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/10/2013 and was last updated on 10/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		5420-33	WISCONSIN	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	5420	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100065260	MEDICAID	WISCONSIN
2	100065388	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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