Provider Demographics
NPI:1093332066
Name:PRICE, ERIN (DNP, APRN, AGPCNP, N)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:DNP, APRN, AGPCNP, N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 LAJITAS DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-1687
Mailing Address - Country:US
Mailing Address - Phone:940-799-5142
Mailing Address - Fax:
Practice Address - Street 1:1451 W BUSINESS 380
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3265
Practice Address - Country:US
Practice Address - Phone:940-977-3319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-25
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1138630363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty