Provider Demographics
NPI:1710249271
Name:ERWIN, ANNA K (FNP-BC, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:K
Last Name:ERWIN
Suffix:
Gender:F
Credentials:FNP-BC, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 CHILDS ST
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-4934
Mailing Address - Country:US
Mailing Address - Phone:662-665-0006
Mailing Address - Fax:662-665-9151
Practice Address - Street 1:815 CHILDS ST
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-4934
Practice Address - Country:US
Practice Address - Phone:662-665-0006
Practice Address - Fax:662-665-9151
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR877009363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health