KRISTEN C ERICKSON

CHAMPAIGN, IL
NPI1477959724
Former NameKRISTEN C SAMUELS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209-011627)
Enumeration Date2014-11-14
Last Update Date2014-11-14
Business Address
-- KRISTEN C ERICKSON NP
819 BLOOMINGTON ROAD
CHAMPAIGN, IL 61820
Phone number: 217-356-1558
Mailing Address
-- KRISTEN C ERICKSON NP
819 BLOOMINGTON ROAD
CHAMPAIGN, IL 61820
Phone number: 217-356-1558