Healthcare Provider Details

I. General information

NPI: 1114276870
Provider Name (Legal Business Name): ERIN BEYER MERLI CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2012
Last Update Date: 09/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 FORBES ST SUITE 200
ANNAPOLIS MD
21401-1538
US

IV. Provider business mailing address

114 N LAKEWOOD AVE
BALTIMORE MD
21224-1143
US

V. Phone/Fax

Practice location:
  • Phone: 410-263-6363
  • Fax:
Mailing address:
  • Phone: 443-418-7924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberR178315
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR178315
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: