Provider Demographics
NPI:1912156605
Name:KRUSCHWITZ, ERIN (FNP)
Entity Type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:
Last Name:KRUSCHWITZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:115 JEFFERSON HWY STE 9
Mailing Address - Street 2:
Mailing Address - City:LOUISA
Mailing Address - State:VA
Mailing Address - Zip Code:23093-6563
Mailing Address - Country:US
Mailing Address - Phone:540-967-9401
Mailing Address - Fax:540-967-9405
Practice Address - Street 1:115 JEFFERSON HWY STE 9
Practice Address - Street 2:
Practice Address - City:LOUISA
Practice Address - State:VA
Practice Address - Zip Code:23093
Practice Address - Country:US
Practice Address - Phone:540-967-9401
Practice Address - Fax:540-967-9405
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX705974363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00813396Medicare PIN