Provider Demographics
NPI:1851605885
Name:BENDER, ERIN LAWRENCE (PA)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:LAWRENCE
Last Name:BENDER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:MARTHA
Other - Last Name:BENDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20930 DUPONT BLVD UNIT 202
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19947-1724
Mailing Address - Country:US
Mailing Address - Phone:302-856-3737
Mailing Address - Fax:303-856-7337
Practice Address - Street 1:20930 DUPONT BLVD UNIT 202
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-1724
Practice Address - Country:US
Practice Address - Phone:302-856-3737
Practice Address - Fax:303-856-7337
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC5-0011592363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant