Individual
ERIN COLLEEN LYTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3100 MOUNTAIN RD, PASADENA, MD 21122-2018
(410) 360-4446
(410) 360-4449
Mailing address
3100 MOUNTAIN RD, PASADENA, MD 21122-2018
(410) 360-4446
(410) 360-4449
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R174779
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418074700
—
MD
01
—
6225785
AETNA HMO
—
01
—
955929-01
BCBS
MD
01
—
95592901
BCBS MD
—
01
—
9807484
AETNA PPO
—
01
—
W6420007
BCBS
DC
01
—
W6420007
BCBS DC
—
Enumeration date
06/30/2009
Last updated
07/22/2016
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