1821536897 NPI number — MS. ERICA LYNNE EGGMAN FNP-C

Table of content: MS. ERICA LYNNE EGGMAN FNP-C (NPI 1821536897)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821536897 NPI number — MS. ERICA LYNNE EGGMAN FNP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
EGGMAN
Provider First Name:
ERICA
Provider Middle Name:
LYNNE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
FNP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821536897
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/10/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3677 W CAMINO CHRISTY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TUCSON
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85742-8767
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-490-4177
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12480 N RANCHO VISTOSO BLVD STE 130
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ORO VALLEY
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85755-1993
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-812-5580
Provider Business Practice Location Address Fax Number:
520-812-5581
Provider Enumeration Date:
02/09/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  AP9869 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: F1216069 . This is a "AMERICAN ASSOCIATION OF NURSE PRACTITIONERS" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: AP9869 . This is a "ARIZONA STATE BOARD OF NURSING" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".




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