Healthcare Provider Details

I. General information

NPI: 1134818099
Provider Name (Legal Business Name): ERIN ELIZABETH PEREK FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN ELIZABETH MCMANUS RN

II. Dates (important events)

Enumeration Date: 05/04/2023
Last Update Date: 05/04/2023
Certification Date: 05/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 E SAINT PETER ST
NEW IBERIA LA
70560-3932
US

IV. Provider business mailing address

600 JEFFERSON ST STE 600
LAFAYETTE LA
70501-6987
US

V. Phone/Fax

Practice location:
  • Phone: 337-364-1166
  • Fax: 337-364-7090
Mailing address:
  • Phone: 337-202-0720
  • Fax: 337-465-4604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number229877
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: