Provider Demographics
NPI:1841425667
Name:DUCHON, ERIN LYNN (FNP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:LYNN
Last Name:DUCHON
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 1:15322 SAINT CLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44110-3043
Mailing Address - Country:US
Mailing Address - Phone:216-850-1500
Mailing Address - Fax:216-851-0602
Practice Address - Street 1:15322 SAINT CLAIR AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44110-3043
Practice Address - Country:US
Practice Address - Phone:216-850-1500
Practice Address - Fax:216-851-0602
Is Sole Proprietor?:No
Enumeration Date:2009-05-22
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA10692-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily