Provider Demographics
NPI:1912985508
Name:LEYDIG, ERIN JANE (CRNP)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:JANE
Last Name:LEYDIG
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:JANE
Other - Last Name:GALLAGHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:12 HARRINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-6033
Mailing Address - Country:US
Mailing Address - Phone:724-331-7572
Mailing Address - Fax:
Practice Address - Street 1:1001 BRINTON RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-4533
Practice Address - Country:US
Practice Address - Phone:412-525-0204
Practice Address - Fax:888-816-8109
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008764363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAQ57603Medicare UPIN