Provider Demographics
NPI:1578800751
Name:RICHARDS, ERIN FRANCES
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:FRANCES
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 MARYLAND RD STE 504
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-1226
Mailing Address - Country:US
Mailing Address - Phone:215-481-6872
Mailing Address - Fax:
Practice Address - Street 1:3998 RED LION RD STE 214
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1440
Practice Address - Country:US
Practice Address - Phone:215-612-5050
Practice Address - Fax:215-612-5214
Is Sole Proprietor?:No
Enumeration Date:2013-01-09
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA051825363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical