Healthcare Provider Details

I. General information

NPI: 1134753288
Provider Name (Legal Business Name): DAWN ERLINGSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2020
Last Update Date: 09/16/2024
Certification Date: 09/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 OLD NORTH RD
BARKHAMSTED CT
06063-3459
US

IV. Provider business mailing address

65 OLD NORTH RD
BARKHAMSTED CT
06063-3459
US

V. Phone/Fax

Practice location:
  • Phone: 860-508-9938
  • Fax: 855-309-9413
Mailing address:
  • Phone: 860-508-9938
  • Fax: 855-309-9413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number9267
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: