Provider Demographics
NPI:1750305447
Name:SMITH, ERIN CHELSEA (CNM)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:CHELSEA
Last Name:SMITH
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 REDGATE AVE
Mailing Address - Street 2:APT. 2
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23507-1746
Mailing Address - Country:US
Mailing Address - Phone:757-622-3045
Mailing Address - Fax:
Practice Address - Street 1:100 KINGSLEY LN
Practice Address - Street 2:SUITE 400
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-4604
Practice Address - Country:US
Practice Address - Phone:757-451-0929
Practice Address - Fax:757-423-4901
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024166898367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife