Provider Demographics
NPI:1235943119
Name:CRAKER, ERICKA DON
Entity type:Individual
Prefix:
First Name:ERICKA
Middle Name:DON
Last Name:CRAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 AMERSON ORCHARD RD APT 106
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-8341
Mailing Address - Country:US
Mailing Address - Phone:502-510-2979
Mailing Address - Fax:
Practice Address - Street 1:105 PRATHER PATH STE 1100
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-9209
Practice Address - Country:US
Practice Address - Phone:502-603-5220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant