Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | SP009396 | PA |
N | 363LG0600X | Nurse Practitioner - Gerontology | SP009081 | PA |
NPI | 1023201530 |
---|---|
Provider Name | Erma Jean Pilson |
First Address | Philadelphia, PA 19104-2614 |
Second Address | Philadelphia, PA 19106-4022 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2007 |
Last Update Date | 25/10/2007 |