Provider Demographics
NPI:1023450707
Name:MCDONOUGH, ERIN ELIZABETH (DNP, APRN)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:ELIZABETH
Last Name:MCDONOUGH
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:ELIZABETH
Other - Last Name:LATINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, APRN
Mailing Address - Street 1:100 MCGREGOR ST
Mailing Address - Street 2:INTENSIVE CARE UNIT, LEVEL C
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-3730
Mailing Address - Country:US
Mailing Address - Phone:603-663-6401
Mailing Address - Fax:603-663-2059
Practice Address - Street 1:100 MCGREGOR ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-3730
Practice Address - Country:US
Practice Address - Phone:603-663-6401
Practice Address - Fax:603-663-2059
Is Sole Proprietor?:No
Enumeration Date:2013-07-23
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHRN2276154363L00000X
MARN2276154363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner