Ericka Burleson
Peer Specialist · Fort Supply, OK
NPI number
1396406757
Practice location
193461 E Co Rd 304Fort Supply, OK 73841
- Phone
- (580) 766-2311
NPI record
- NPI
- 1396406757
- Entity type
- Individual (Type 1)
- Enumeration date
- January 6, 2022
- Last updated
- January 6, 2022
- Certified
- January 5, 2022
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | — |
About Ericka Burleson
Ericka Burleson is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 193461 E Co Rd 304, Fort Supply, OK 73841. The NPI number 1396406757 was assigned on January 6, 2022 and the record was last updated on January 6, 2022.
Frequently asked questions
What is the NPI number of Ericka Burleson?
The NPI number is 1396406757.
What is the phone number of Ericka Burleson?
The phone number listed for the practice location is (580) 766-2311.
Where is Ericka Burleson located?
193461 E Co Rd 304, Fort Supply, OK 73841.
What is the taxonomy code for Ericka Burleson?
The primary taxonomy code is 175T00000X – Peer Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.