Provider Demographics
NPI:1407543515
Name:CARLSON, ERIN ELAINE
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ELAINE
Last Name:CARLSON
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 1:15207 WEEPING CEDAR LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-6488
Mailing Address - Country:US
Mailing Address - Phone:346-810-1516
Mailing Address - Fax:
Practice Address - Street 1:15207 WEEPING CEDAR LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-6488
Practice Address - Country:US
Practice Address - Phone:346-810-1516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula