Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 004591 | CT |
N | 363LA2100X | Nurse Practitioner - Acute Care | 004591 | CT |
NPI | 1043515893 |
---|---|
Provider Name | Ms. Nancy L. Erman |
First Address | Wethersfield, CT 06109-4337 |
Second Address | Hartford, CT 06102-5037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2011 |
Last Update Date | 18/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004591 | LICENSE (01) | CT |
1043515893 | (05) | CT |