Provider Demographics
NPI:1942960026
Name:ROBERTS, ERICA A (NP)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:A
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 DOCTORS CIR
Mailing Address - Street 2:
Mailing Address - City:SUPPLY
Mailing Address - State:NC
Mailing Address - Zip Code:28462-1101
Mailing Address - Country:US
Mailing Address - Phone:910-754-6141
Mailing Address - Fax:910-343-5323
Practice Address - Street 1:18 DOCTORS CIR
Practice Address - Street 2:
Practice Address - City:SUPPLY
Practice Address - State:NC
Practice Address - Zip Code:28462-1101
Practice Address - Country:US
Practice Address - Phone:910-754-6141
Practice Address - Fax:910-343-5323
Is Sole Proprietor?:No
Enumeration Date:2021-12-30
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC286843163W00000X
NC5015576363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily