Provider Demographics
NPI:1083190268
Name:HONSERMYER, ERIN
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:HONSERMYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:E
Other - Last Name:BRESLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:140 KATELYN DR
Mailing Address - Street 2:
Mailing Address - City:NEW OXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:17350-6103
Mailing Address - Country:US
Mailing Address - Phone:717-321-5395
Mailing Address - Fax:
Practice Address - Street 1:140 KATELYN DR
Practice Address - Street 2:
Practice Address - City:NEW OXFORD
Practice Address - State:PA
Practice Address - Zip Code:17350-6103
Practice Address - Country:US
Practice Address - Phone:717-321-5395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN290901164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse