Provider Demographics
NPI:1457503641
Name:WALSH-HEBEL, ERIN ELIZABETH (CRNP PMHNP-BC CARN)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:ELIZABETH
Last Name:WALSH-HEBEL
Suffix:
Gender:F
Credentials:CRNP PMHNP-BC CARN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:13 COLONIAL WAY
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-4306
Mailing Address - Country:US
Mailing Address - Phone:401-439-8919
Mailing Address - Fax:
Practice Address - Street 1:35 INDUSTRIAL WAY STE B
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-6202
Practice Address - Country:US
Practice Address - Phone:443-761-2248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP37239363LA2200X
NH084493363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health