Provider Demographics
NPI:1518449271
Name:WINGER, ERICA (CRNP)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:WINGER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:SPRING CHURCH
Mailing Address - State:PA
Mailing Address - Zip Code:15686-9723
Mailing Address - Country:US
Mailing Address - Phone:724-859-3642
Mailing Address - Fax:
Practice Address - Street 1:300 HALKET ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3108
Practice Address - Country:US
Practice Address - Phone:412-354-3489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018589363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily