Individual
ERIN ROSE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
561 FAIRTHORNE AVE, PHILADELPHIA, PA 19128-2412
(215) 487-4000
Mailing address
2420 MADISON SQ, PHILADELPHIA, PA 19146-2409
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP026516
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ST026516
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NONE
—
Enumeration date
10/26/2022
Last updated
10/26/2022
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