Provider Demographics
NPI:1306192489
Name:DUFF, ERIN ANN (FNP-C)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ANN
Last Name:DUFF
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:ANN
Other - Last Name:GUNTHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3101 SHIPPERS RD
Mailing Address - Street 2:
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850-2003
Mailing Address - Country:US
Mailing Address - Phone:607-797-2917
Mailing Address - Fax:
Practice Address - Street 1:3101 SHIPPERS RD
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-2003
Practice Address - Country:US
Practice Address - Phone:607-797-2917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-26
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY337518363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily