Provider Demographics
NPI:1952002586
Name:FOLKERSEN, ERINN (DEM)
Entity Type:Individual
Prefix:
First Name:ERINN
Middle Name:
Last Name:FOLKERSEN
Suffix:
Gender:F
Credentials:DEM
Other - Prefix:
Other - First Name:ERINN
Other - Middle Name:
Other - Last Name:FUNK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DEM
Mailing Address - Street 1:4781 S SIMPER LN
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84129-2857
Mailing Address - Country:US
Mailing Address - Phone:801-916-6535
Mailing Address - Fax:
Practice Address - Street 1:4781 S SIMPER LN
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84129-2857
Practice Address - Country:US
Practice Address - Phone:801-916-6535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay