Healthcare Provider Details

I. General information

NPI: 1972430627
Provider Name (Legal Business Name): ERIN COOK CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 OLD SOLOMONS ISLAND RD
ANNAPOLIS MD
21401-3858
US

IV. Provider business mailing address

45 OLD SOLOMONS ISLAND RD STE 205
ANNAPOLIS MD
21401-3800
US

V. Phone/Fax

Practice location:
  • Phone: 410-224-4348
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR277790
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: