Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 20308 | SC |
NPI | 1083169205 |
---|---|
Provider Name | Mrs. Erin B Wilkins |
First Address | Charlotte, NC 28275-1649 |
Second Address | Charleston, SC 29414-5744 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2016 |
Last Update Date | 02/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NP4096 | (05) | SC |