Provider Demographics
NPI:1942444823
Name:CAFFREY, ERIN MARIE (PA-C, ATC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MARIE
Last Name:CAFFREY
Suffix:
Gender:F
Credentials:PA-C, ATC
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:MARIE
Other - Last Name:CAFFREY GROAT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:261 BLUESTONE DR
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22807-1009
Mailing Address - Country:US
Mailing Address - Phone:540-568-6966
Mailing Address - Fax:
Practice Address - Street 1:261 BLUESTONE DR
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22807-3989
Practice Address - Country:US
Practice Address - Phone:540-568-6966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-23
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-05621363A00000X
VA0110-004920363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant