Individual
ERIN O'NEILL MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP, AGPCNP-BC
Contact information
Practice address
1906 TUSTIN ST., PHILADELPHIA, PA 19152
(856) 905-8732
Mailing address
1906 TUSTIN ST, PHILADELPHIA, PA 19152-1907
(856) 905-8732
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP016511
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP016511
PA STATE CRNP LICENSE
PA
Enumeration date
06/29/2017
Last updated
07/21/2022
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