Provider Demographics
NPI:1245550532
Name:WOLFE, ERIN ELISABETH (LPN)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:ELISABETH
Last Name:WOLFE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 EDISON AVE
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:PA
Mailing Address - Zip Code:17801-1108
Mailing Address - Country:US
Mailing Address - Phone:570-556-9033
Mailing Address - Fax:
Practice Address - Street 1:49 WOODBINE LN
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17821-8022
Practice Address - Country:US
Practice Address - Phone:570-275-5240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN269905164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse