Provider Demographics
NPI:1093155525
Name:COMPTON, ERIN COLE (NP)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:COLE
Last Name:COMPTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:ERIN
Other - Middle Name:COLE
Other - Last Name:MELTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:190 E BANNOCK ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83712-6241
Mailing Address - Country:US
Mailing Address - Phone:208-385-3230
Mailing Address - Fax:
Practice Address - Street 1:190 E BANNOCK ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83712-6241
Practice Address - Country:US
Practice Address - Phone:208-385-3230
Practice Address - Fax:208-385-4088
Is Sole Proprietor?:No
Enumeration Date:2013-06-28
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5006251363L00000X
ID60375363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner