Provider Demographics
NPI:1134512338
Name:LOUIE, ERIC (FNP)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:LOUIE
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 LEVITTOWN PKWY # 24A
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19055-2462
Mailing Address - Country:US
Mailing Address - Phone:215-648-9000
Mailing Address - Fax:215-659-8964
Practice Address - Street 1:173 LEVITTOWN PKWY # 24A
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19055-2462
Practice Address - Country:US
Practice Address - Phone:215-648-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-11
Last Update Date:2022-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP014785363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily