Individual
KATIE S ERDLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
19087B GREENO RD, FAIRHOPE, AL 36532-3899
(251) 928-5568
(251) 928-2605
Mailing address
19087B GREENO RD, FAIRHOPE, AL 36532-3899
(251) 928-5568
(251) 928-2605
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-111750
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122749
—
AL
Enumeration date
12/10/2010
Last updated
08/06/2015
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