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Erin Theriot
Critical Care Pediatric Nurse Practitioner in Baltimore, Maryland
NPI 1306551619

Erin Theriot is a Critical Care Pediatric Nurse Practitioner based in Baltimore, MD and is specialized in Pediatrics, Critical Care. Erin Theriot practices in Baltimore, MD. The NPI Number for Erin Theriot is 1306551619 and holds a License No. 26NR21664400 (Maryland).

The current practice location address for Erin Theriot is 22 S Greene St, Baltimore, MD and can be reached out via phone at 410-328-6957. You can also correspond with Erin Theriot through the mailing address at 110 S PACA ST FL 8, BALTIMORE, MD - 21201-1644 (mailing address contact number: ).

Location: 22 S Greene St, Baltimore, MD, 21201-1644
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Provider Profile Details
NPI Number
1306551619
Provider Name
Erin Theriot
Credential
Provider Entity Type
Individual
Gender
Female
Address
22 S Greene St, Baltimore, MD, 21201-1644
Phone Number
410-328-6957
Fax Number
Provider Enumeration Date
01/20/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AC005210 01 MD STATE BOARD OF NURSING
26NR21664400 01 NJ NJ STATE BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
22 S Greene St
City
State
Zip
21201-1544
Phone Number
410-328-6957
Fax Number
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Provider Business Mailing Address Details
Address
110 S Paca St Fl 8
City
State
Zip
21201-1644
Phone Number
Fax Number
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Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
License No.
AC005210 (Maryland)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics, Critical Care
Taxonomy
License No.
26NR21664400 (New Jersey)
Definition
Definition to come...
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