Basic Information
| Provider Information | |||||||||
| NPI: | 1033347612 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PRITCHETT | ||||||||
| FirstName: | ERIKA | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8170 33RD AVE S | ||||||||
| Address2: | MS 21110Q | ||||||||
| City: | BLOOMINGTON | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554254516 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3202535220 | ||||||||
| FaxNumber: | 3202032200 | ||||||||
| Practice Location | |||||||||
| Address1: | 2251 CONNECTICUT AVE S | ||||||||
| Address2: | |||||||||
| City: | SARTELL | ||||||||
| State: | MN | ||||||||
| PostalCode: | 56377 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3202535220 | ||||||||
| FaxNumber: | 3202032200 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/23/2009 | ||||||||
| LastUpdateDate: | 07/16/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 35.120254 | OH | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | 63734 | MN | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.