Healthcare Provider Details

I. General information

NPI: 1639938681
Provider Name (Legal Business Name): ERIN DONOHUE RN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2024
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 W AVENUE J
LANCASTER CA
93534-2814
US

IV. Provider business mailing address

43333 GADSDEN AVE APT 636
LANCASTER CA
93534-1002
US

V. Phone/Fax

Practice location:
  • Phone: 661-949-5115
  • Fax:
Mailing address:
  • Phone: 614-937-1795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number95270181
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95039252
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: