Provider Demographics
NPI:1578680823
Name:ABUNASSAR, ERIN DANIELLE (PA)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:DANIELLE
Last Name:ABUNASSAR
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:135 WALTER DR
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-7482
Mailing Address - Country:US
Mailing Address - Phone:570-524-7777
Mailing Address - Fax:570-523-9165
Practice Address - Street 1:135 WALTER DR
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-7482
Practice Address - Country:US
Practice Address - Phone:570-524-7777
Practice Address - Fax:570-523-9165
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2013-11-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDC0003463363AM0700X
PAMA056328363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical