Provider Demographics
NPI:1457349029
Name:BRIMHALL, ERIN D (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:D
Last Name:BRIMHALL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:155 GIBBS ST UNIT 419
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-0389
Mailing Address - Country:US
Mailing Address - Phone:410-280-0962
Mailing Address - Fax:888-820-3376
Practice Address - Street 1:116 DEFENSE HWY STE 102
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7040
Practice Address - Country:US
Practice Address - Phone:888-820-3376
Practice Address - Fax:888-826-4576
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR130188363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP70973Medicare UPIN
MD721LMedicare PIN
MDP70973Medicare UPIN