Provider Demographics
NPI:1790380723
Name:SMITHOUSER, ERIN K (MSN, RN)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:K
Last Name:SMITHOUSER
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ABIGAIL CT
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-4266
Mailing Address - Country:US
Mailing Address - Phone:609-577-4820
Mailing Address - Fax:
Practice Address - Street 1:1 ABIGAIL CT
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-4266
Practice Address - Country:US
Practice Address - Phone:609-577-4820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN698266163W00000X
NJ26NR15283000163WG0000X, 163WN0002X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care