Provider Demographics
NPI:1225680440
Name:O'MALLEY, ERIN (DNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:O'MALLEY
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:KATRINA
Other - Last Name:DONOHUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, FNP-C
Mailing Address - Street 1:620 W MACPHAIL RD STE 102
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4474
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:620 W MACPHAIL RD STE 102
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4474
Practice Address - Country:US
Practice Address - Phone:443-819-3648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR193249163W00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse