National Provider Identifier

Erica Forman, LPN

Erica Forman, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Ontario, NY and a listed phone number of (585) 576-9653.

NPI 1518209337Ontario, NYLicensed Practical Nurse

Profile Overview

NPI
1518209337
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 19, 2013
Last Updated
March 19, 2013

Practice Location

  • 4852 Tiffany RD
  • Ontario, NY 14519-9124

Phone: (585) 576-9653

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1518209337
Entity Type
Individual
Last Name
Forman
First Name
Erica
Credential
LPN
Mailing Street Address
4852 Tiffany RD
Mailing City
Ontario
Mailing State
NY
Mailing ZIP Code
14519-9124
Mailing Country
US
Practice Street Address
4852 Tiffany RD
Practice City
Ontario
Practice State
NY
Practice ZIP Code
14519-9124
Practice Country
US
Practice Phone
(585) 576-9653
Enumeration Date
March 19, 2013
Last Updated
March 19, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)