Provider Demographics
NPI:1235430042
Name:TOBIN, ERIN A (CNP)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:A
Last Name:TOBIN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 WHITTECAR AVE
Mailing Address - Street 2:
Mailing Address - City:GREGORY
Mailing Address - State:SD
Mailing Address - Zip Code:57533-1340
Mailing Address - Country:US
Mailing Address - Phone:605-835-9611
Mailing Address - Fax:605-835-8033
Practice Address - Street 1:405 WHITTECAR AVE
Practice Address - Street 2:
Practice Address - City:GREGORY
Practice Address - State:SD
Practice Address - Zip Code:57533-1340
Practice Address - Country:US
Practice Address - Phone:605-835-9611
Practice Address - Fax:605-835-8033
Is Sole Proprietor?:No
Enumeration Date:2010-11-10
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111190363LF0000X
SDCP000625363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily