Most Relevant Information
Provider Data
| NPI Number: | 1003061748 |
| Provider Name: | ERICA PORTIS RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN309426 |
Most Important Dates
| Enumeration Date: | 11/21/2008 |
| Last Updated: | 08/02/2010 |
Provider Practice Location
3551 TOLLAND RD
SHAKER HEIGHTS
OH
441225138
Practice Location Phone/Fax
| Phone: | 2168480633 |
| Fax: |
Provider Mailing Location
3551 TOLLAND RD
SHAKER HEIGHTS
OH
441225138
Provider Mailing Phone/Fax
| Phone: | 2168480633 |
| Fax: |