Provider Demographics
NPI:1821579525
Name:KERNAN-HOBART, ERIN-MARIE (FNP)
Entity Type:Individual
Prefix:
First Name:ERIN-MARIE
Middle Name:
Last Name:KERNAN-HOBART
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 ELM ST
Mailing Address - Street 2:STE 201
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-1855
Mailing Address - Country:US
Mailing Address - Phone:845-663-5723
Mailing Address - Fax:
Practice Address - Street 1:29 ELM ST
Practice Address - Street 2:STE 201
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-1855
Practice Address - Country:US
Practice Address - Phone:845-663-5723
Practice Address - Fax:845-731-6405
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY343591363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily