Provider Demographics
NPI:1568671733
Name:PRANGE, ERIN O'CONNOR (MSN, CRNP)
Entity Type:Individual
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First Name:ERIN
Middle Name:O'CONNOR
Last Name:PRANGE
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Gender:F
Credentials:MSN, CRNP
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Mailing Address - Street 1:721 SWEETLEAF DR
Mailing Address - Street 2:WOOD CREEK
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-1945
Mailing Address - Country:US
Mailing Address - Phone:215-590-1719
Mailing Address - Fax:215-590-2223
Practice Address - Street 1:3400 CIVIC CENTER BLVD, 10TH FL COLKET BLDG
Practice Address - Street 2:CHILDREN'S HOSPITAL OF PHILADELPHIA
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4306
Practice Address - Country:US
Practice Address - Phone:215-590-1719
Practice Address - Fax:215-590-2223
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2011-12-23
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Provider Licenses
StateLicense IDTaxonomies
PASP008150363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics