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ERICA GADDY APRN NPI 1316558471


NPI Information

NPI: 1316558471
Provider Name: ERICA GADDY APRN
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
60 REVERE DR STE 100
NORTHBROOK, IL
ZIP 60062
Phone: (224) 306-1879
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ERICA GADDY APRN is a nurse practitioner in Northbrook, IL. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. ERICA GADDY APRN NPI is 1316558471. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

60 REVERE DR STE 100
NORTHBROOK, IL
ZIP 60062-590
Phone: (224) 306-1879

The provider's authorized official is Erica Gaddy .
The authorized official title is Owner and has the following contact phone number (224) 306-1879.

The enumeration date for this NPI number is 8/12/2020 and was last updated on 8/12/2020.


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
12084P0800XPsychiatry & NeurologyPsychiatryNo
2363L00000XNurse PractitionerYes

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
112779892OTHERCAQH

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

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