Individual
ERIN THERIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6957
Mailing address
110 S PACA ST FL 8, BALTIMORE, MD 21201-1644
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
26NR21664400
NJ
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
R238207
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NR21664400
NJ STATE BOARD OF NURSING
NJ
Enumeration date
01/20/2023
Last updated
06/10/2024
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