Tidiane, Erica Mae

Tidiane, Erica Mae is an sole proprietor health care provider with primary practice located at 8775 Sierra College Blvd Ste 200 , Roseville CA 95661-5985. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Tidiane, Erica Mae can be contacted via phone (877) 975-7110.

Contact Information

Primary practice address
8775 Sierra College Blvd Ste 200 Roseville CA 95661-5985
Phone: (877) 975-7110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95019105 California

Profile Details

NPI number 1205407095
LBN Legal business name Tidiane, Erica Mae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2021
Last updated Nov 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers