Provider Demographics
NPI:1902017841
Name:GARTH, ERIN MCMAHON (MSN, CRNP)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:MCMAHON
Last Name:GARTH
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 VAN NESS ST NW
Mailing Address - Street 2:APT S213
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-4701
Mailing Address - Country:US
Mailing Address - Phone:215-410-7400
Mailing Address - Fax:
Practice Address - Street 1:111 MICHIGAN AVE NW
Practice Address - Street 2:SUITE 2.5-600
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2916
Practice Address - Country:US
Practice Address - Phone:202-476-3061
Practice Address - Fax:202-476-4686
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009343363LP0200X
DCRN1013549363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics