Provider Demographics
NPI:1407321862
Name:PADILLA, ERIN YVONNE
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:YVONNE
Last Name:PADILLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 SUMNER AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-2534
Mailing Address - Country:US
Mailing Address - Phone:505-916-7984
Mailing Address - Fax:
Practice Address - Street 1:1416 SUMNER AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-2534
Practice Address - Country:US
Practice Address - Phone:505-916-7984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-11
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM562176B00000X
TNLM89176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife