Provider Demographics
NPI:1457073637
Name:SKROBANSKI, ERIN ANN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ANN
Last Name:SKROBANSKI
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CHRISTOPHER CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-2054
Mailing Address - Country:US
Mailing Address - Phone:845-692-5968
Mailing Address - Fax:
Practice Address - Street 1:7 CHRISTOPHER CT
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-2054
Practice Address - Country:US
Practice Address - Phone:845-692-5968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF344745-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily