Provider Demographics
NPI:1831438985
Name:HERHOLD, ERIN MARIE (PA-C)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MARIE
Last Name:HERHOLD
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1910 SASSAFRAS ST
Mailing Address - Street 2:STE 100
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16502-2716
Mailing Address - Country:US
Mailing Address - Phone:814-456-9197
Mailing Address - Fax:814-455-2765
Practice Address - Street 1:2315 MYRTLE ST
Practice Address - Street 2:STE: 160
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16502-4602
Practice Address - Country:US
Practice Address - Phone:814-456-9197
Practice Address - Fax:814-455-2765
Is Sole Proprietor?:No
Enumeration Date:2013-02-10
Last Update Date:2016-07-26
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Provider Licenses
StateLicense IDTaxonomies
PAMA056660363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical