Provider Demographics
NPI:1114120326
Name:ERIKSSON, CONNIE PIOTROWSKI (RN MSN CS)
Entity Type:Individual
Prefix:MS
First Name:CONNIE
Middle Name:PIOTROWSKI
Last Name:ERIKSSON
Suffix:
Gender:F
Credentials:RN MSN CS
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:252 W SWAMP RD STE 36
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2465
Mailing Address - Country:US
Mailing Address - Phone:215-313-7278
Mailing Address - Fax:
Practice Address - Street 1:252 W SWAMP RD STE 36
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2465
Practice Address - Country:US
Practice Address - Phone:215-313-7278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN283415L364SP0808X
PA0365002-01 ANCC CERT364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7373355OtherAETNA
PA036500201OtherANCC
PARN283415LOtherSTATE BOARD OF NURSING