Provider Demographics
NPI:1235657982
Name:RYAN, ERIN R (BSN, RN)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:R
Last Name:RYAN
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-1111
Mailing Address - Country:US
Mailing Address - Phone:814-451-6700
Mailing Address - Fax:814-451-6767
Practice Address - Street 1:ERIE COUNTY DEPT. OF HEALTH 606 WEST SECOND ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-1111
Practice Address - Country:US
Practice Address - Phone:814-451-6700
Practice Address - Fax:814-451-6767
Is Sole Proprietor?:No
Enumeration Date:2017-09-01
Last Update Date:2017-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN634765163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse