Provider Demographics
NPI:1679160758
Name:HALLMAN, ERIKA TIERRA (LPN)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:TIERRA
Last Name:HALLMAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5529 TURTLE STA
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-6730
Mailing Address - Country:US
Mailing Address - Phone:614-603-6677
Mailing Address - Fax:
Practice Address - Street 1:5529 TURTLE STA
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-6730
Practice Address - Country:US
Practice Address - Phone:614-603-6677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.175794-MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse