Provider Demographics
NPI:1295884401
Name:AUERBACH, ERICA JEAN (RN, CPNP)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:JEAN
Last Name:AUERBACH
Suffix:
Gender:F
Credentials:RN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3435 ELSA AVE
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-4011
Mailing Address - Country:US
Mailing Address - Phone:240-346-1071
Mailing Address - Fax:
Practice Address - Street 1:1111 20TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20526-0001
Practice Address - Country:US
Practice Address - Phone:202-692-1447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX500032363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics