Provider Demographics
NPI:1578040325
Name:MULDER, ERIN BERK (PNP-PC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:BERK
Last Name:MULDER
Suffix:
Gender:F
Credentials:PNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 FOREST HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-4413
Mailing Address - Country:US
Mailing Address - Phone:919-937-7726
Mailing Address - Fax:
Practice Address - Street 1:3000 NEW BERN AVENUE
Practice Address - Street 2:3RD FLOOR NEONATOLOGY
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610
Practice Address - Country:US
Practice Address - Phone:919-350-8905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5010778363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal