Provider Demographics
NPI:1275802142
Name:PATRICK, ERIN DENISE (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:DENISE
Last Name:PATRICK
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2508 RIDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-8336
Mailing Address - Country:US
Mailing Address - Phone:917-557-4157
Mailing Address - Fax:
Practice Address - Street 1:2508 RIDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-8336
Practice Address - Country:US
Practice Address - Phone:917-557-4157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-22
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC089508367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered