Provider Demographics
NPI:1902643711
Name:CHALUPNICKI, ERIN (ANP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:CHALUPNICKI
Suffix:
Gender:
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-5409
Mailing Address - Country:US
Mailing Address - Phone:315-730-4758
Mailing Address - Fax:
Practice Address - Street 1:77 NELSON ST STE 310
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-1990
Practice Address - Country:US
Practice Address - Phone:315-253-4463
Practice Address - Fax:315-916-6117
Is Sole Proprietor?:No
Enumeration Date:2024-07-09
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF311795-01363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health