Provider Demographics
NPI:1942581400
Name:WARD, ERIN BREE (PNP)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:BREE
Last Name:WARD
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:BREE
Other - Last Name:BLAKELEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1010 N BANCROFT PKWY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-2690
Mailing Address - Country:US
Mailing Address - Phone:302-652-2455
Mailing Address - Fax:302-652-2444
Practice Address - Street 1:404 FOX HUNT DR
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-2538
Practice Address - Country:US
Practice Address - Phone:302-836-2864
Practice Address - Fax:302-918-3219
Is Sole Proprietor?:No
Enumeration Date:2011-08-29
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELJ-0000269363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner