Provider Demographics
NPI:1780308502
Name:BAHMER, ERIN LINDSAY (PMHNP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:LINDSAY
Last Name:BAHMER
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:LINDSAY
Other - Last Name:UMLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1902 MARYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-4605
Mailing Address - Country:US
Mailing Address - Phone:302-655-7108
Mailing Address - Fax:
Practice Address - Street 1:255 S. 17TH STREET
Practice Address - Street 2:SUITE 1010, 1500, 2304
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-4605
Practice Address - Country:US
Practice Address - Phone:484-440-9273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-27
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL8-0010364363LP0808X
PASP027069363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health